D'ambrosio Eye Care, INC.
D'ambrosio Eye Care, INC. was paid $3.37M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 22% of everything it billed.
33Billing provider infoD'AMBROSIO EYE CARE, INC.
LANCASTER, MA 01523
LANCASTER, MA 01523
33aNPI1922020874assigned 07/23/2006
33bProvider typeOptometrist
28Total paid$3.37M
24GClaims81,881
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#8 of 629
Median peer was paid$15K
This provider vs. median224×
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 | 12,584 | $370K | |
| 2019 | 13,150 | $511K | |
| 2020 | 8,945 | $356K | |
| 2021 | 12,270 | $543K | |
| 2022 | 10,990 | $526K | |
| 2023 | 12,804 | $636K | |
| 2024incomplete | 11,138 | $430K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 22% | 894 | 730 | $740K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 11,026 | 10,894 | $540K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 15,614 | 14,276 | $453K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 6,637 | 6,424 | $259K |
| 92015 | Determination of refractive state | 6.5% | 17,354 | 17,070 | $218K |
| J2778 | Injection, ranibizumab, 0.1 mg | 4.7% | 349 | 278 | $160K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.2% | 3,749 | 3,673 | $142K |
| J2777 | Injection, faricimab-svoa, 0.1 mg | 3.2% | 106 | 88 | $108K |
| 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 | 3.2% | 2,216 | 2,196 | $107K |
| 92060 | 3.0% | 3,462 | 2,140 | $101K | |
| 92134 | 2.7% | 5,952 | 4,245 | $92K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.6% | 1,293 | 1,285 | $88K |
20 more codes
| 67028 | Intravitreal injection of a pharmacologic agent | 2.6% | 2,881 | $87K |
| 68761 | 1.8% | 642 | $62K | |
| 92083 | 1.8% | 2,334 | $59K | |
| 92250 | <1% | 2,057 | $31K | |
| 92133 | <1% | 1,957 | $30K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 153 | $19K |
| 92341 | <1% | 350 | $12K | |
| 92136 | <1% | 843 | $12K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 47 | $11K |
| 92235 | <1% | 145 | $7K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 41 | $7K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 205 | $6K |
| 92020 | <1% | 348 | $5K | |
| 92201 | <1% | 399 | $5K | |
| 92286 | <1% | 152 | $3K | |
| 76514 | <1% | 397 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 44 | $1K |
| 92225 | <1% | 82 | $1K | |
| 92285 | <1% | 138 | $1K | |
| 92370 | <1% | 14 | $164.64 |
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 officialD'AMBROSIO, FRANCIS (OWNER)
| Provider | Location | Paid |
|---|---|---|
| D'ambrosio Eye Care, INC. | Athol, MA | $188K |
| D'ambrosio Eye Care, INC. | Worcester, MA | $162K |
| D'ambrosio Eye Care, INC. | Leominster, MA | $145K |
| D'ambrosio Eye Care, INC. | Gardner, MA | $133K |
| D'ambrosio Eye Care, INC. | Acton, MA | $19K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.