Dental
Massachusetts Eye and Ear Associates, INC.
Massachusetts Eye and Ear Associates, INC. was paid $6.61M by Medicaid between Jan 2018 and Dec 2024, across 75 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoMASSACHUSETTS EYE AND EAR ASSOCIATES, INC.
BOSTON, MA 02114
BOSTON, MA 02114
33aNPI1932574332assigned 12/10/2015
33bProvider typeProsthodontist
28Total paid$6.61M
24GClaims237,999
24DCodes billed75
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Prosthodontist providers in Massachusetts
Rank by total paid#2 of 7
Median peer was paid$55K
This provider vs. median120×
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 | 27,812 | $755K | |
| 2019 | 28,022 | $845K | |
| 2020 | 19,199 | $597K | |
| 2021 | 33,798 | $936K | |
| 2022 | 38,234 | $1.06M | |
| 2023 | 46,773 | $1.23M | |
| 2024incomplete | 44,161 | $1.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 21% | 39,498 | 38,058 | $1.40M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 22,393 | 22,151 | $1.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 36,191 | 35,171 | $994K |
| 67028 | Intravitreal injection of a pharmacologic agent | 6.6% | 12,315 | 11,792 | $435K |
| 92134 | 6.1% | 36,589 | 34,844 | $402K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 7,496 | 7,465 | $389K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.0% | 4,130 | 4,125 | $262K |
| 92015 | Determination of refractive state | 3.5% | 18,046 | 17,955 | $229K |
| 31231 | 3.2% | 4,509 | 4,392 | $209K | |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 2.5% | 4,719 | 4,552 | $164K |
| 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 | 2.0% | 1,775 | 1,759 | $135K |
| 31575 | 1.7% | 3,237 | 3,149 | $115K |
63 more codes
| 92083 | 1.6% | 9,971 | $103K | |
| 92133 | 1.5% | 9,048 | $99K | |
| 99284 | Emergency room visit (serious) | 1.2% | 1,268 | $82K |
| 92557 | <1% | 1,650 | $50K | |
| 76512 | <1% | 1,929 | $36K | |
| 69210 | <1% | 1,724 | $30K | |
| 00142 | <1% | 931 | $29K | |
| 68761 | <1% | 257 | $28K | |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 444 | $28K |
| 92226 | <1% | 2,035 | $26K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 531 | $25K |
| 31579 | <1% | 469 | $25K | |
| 70491 | <1% | 840 | $25K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 342 | $21K |
| 92060 | <1% | 1,025 | $20K | |
| 92567 | <1% | 1,061 | $16K | |
| 31237 | <1% | 143 | $14K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 370 | $13K |
| 92201 | <1% | 1,314 | $12K | |
| 70486 | <1% | 437 | $10K | |
| 92025 | <1% | 1,166 | $10K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 389 | $10K |
| 76536 | <1% | 664 | $10K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 484 | $9K |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 51 | $8K |
| 92504 | <1% | 1,754 | $8K | |
| 92250 | <1% | 911 | $8K | |
| 92020 | <1% | 978 | $7K | |
| 70480 | <1% | 183 | $6K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 285 | $5K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 108 | $4K |
| 64612 | <1% | 58 | $4K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 163 | $4K |
| 95806 | <1% | 84 | $4K | |
| 92202 | <1% | 444 | $3K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 46 | $3K |
| 92579 | <1% | 102 | $3K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 13 | $3K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 14 | $2K |
| 92585 | <1% | 112 | $2K | |
| 31526 | <1% | 24 | $2K | |
| 92136 | <1% | 164 | $2K | |
| 92285 | <1% | 1,242 | $2K | |
| 92540 | <1% | 49 | $2K | |
| 74230 | <1% | 115 | $2K | |
| 92225 | <1% | 103 | $2K | |
| 70543 | <1% | 26 | $2K | |
| 00140 | <1% | 30 | $2K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 12 | $2K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 53 | $1K |
| 95811 | <1% | 25 | $1K | |
| 92587 | <1% | 104 | $1K | |
| 88304 | <1% | 188 | $1K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 302 | $1K |
| 92145 | <1% | 197 | $712.43 | |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 26 | $555.14 |
| 76514 | <1% | 120 | $483.19 | |
| 76516 | <1% | 57 | $407.87 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $288.22 |
| 92546 | <1% | 13 | $108.25 | |
| 92283 | <1% | 13 | $70.68 | |
| 92081 | <1% | 13 | $53.62 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 413 | $0.00 |
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 officialGHILONI, SHARYN (DIRECTOR FINANCIAL SERVICES)