Donnenfeld, Eric

Donnenfeld, Eric was paid $22K by Medicaid between Nov 2018 and Sep 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 20% of everything it billed.

33Billing provider infoDONNENFELD, ERIC
GARDEN CITY, NY 11530

33aNPI1891790770assigned 06/16/2005

33bProvider typeOphthalmology Physician

28Total paid$22K

24GClaims706

24DCodes billed10

24AFirst – last monthNov 2018 – Sep 2024

Compared with peers

Next to other Ophthalmology Physician providers in New York

Rank by total paid#605 of 1,085

Median peer was paid$34K

This provider vs. median0.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	12	$517.92
2019	109	$3K
2020	199	$7K
2021	80	$2K
2022	26	$452.45
2023	161	$7K
2024incomplete	119	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	87	87	$4K
92136		18%	192	189	$4K
92025		17%	175	175	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	16%	83	81	$4K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	12%	14	12	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	5.3%	13	13	$1K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	4.9%	24	24	$1K
92015	Determination of refractive state	3.2%	93	93	$706.90
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.7%	13	12	$605.79
92134		<1%	12	12	$120.61

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.