Philadelphia Eye Associates
Philadelphia Eye Associates was paid $611K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoPHILADELPHIA EYE ASSOCIATES
PHILADELPHIA, PA 19145
PHILADELPHIA, PA 19145
33aNPI1922009596assigned 08/09/2005
33bProvider typeOptometrist
28Total paid$611K
24GClaims23,554
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#36 of 983
Median peer was paid$20K
This provider vs. median30×
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 | 24 | $522.86 | |
| 2021 | 4,426 | $104K | |
| 2022 | 6,721 | $176K | |
| 2023 | 6,515 | $174K | |
| 2024incomplete | 5,868 | $156K |
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 | 27% | 5,083 | 4,964 | $168K |
| V2020 | Frames, purchases | 20% | 3,449 | 2,829 | $125K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 1,963 | 1,937 | $83K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 2,597 | 1,022 | $71K |
| 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 | 7.6% | 1,749 | 1,669 | $47K |
| 92134 | 3.8% | 1,245 | 1,157 | $23K | |
| V2750 | Anti-reflective coating, per lens | 3.4% | 908 | 400 | $21K |
| 92083 | 3.1% | 447 | 442 | $19K | |
| 92133 | 2.3% | 646 | 634 | $14K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.6% | 127 | 115 | $10K |
| 92250 | <1% | 149 | 149 | $5K | |
| 92015 | Determination of refractive state | <1% | 959 | 945 | $4K |
14 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 197 | $3K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 13 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,642 | $3K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 82 | $3K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 29 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 60 | $2K |
| V2744 | Tint, photochromatic, per lens | <1% | 54 | $2K |
| V2781 | Progressive lens, per lens | <1% | 24 | $1K |
| V2299 | Specialty bifocal (by report) | <1% | 24 | $896.16 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 28 | $735.24 |
| 92025 | <1% | 38 | $641.02 | |
| 76519 | <1% | 12 | $369.58 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | $330.86 |
| 92020 | <1% | 15 | $224.80 |
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.
From NPPES
Who's on the registration
Authorized officialMARTOFEL, MONICA (DIRECTOR OF OPERATIONS)