Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › York › NPI 1942306196
Physician

Keystone Eye Care GRP, LLC

Keystone Eye Care GRP, LLC was paid $915K by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 24% of everything it billed.

33Billing provider infoKEYSTONE EYE CARE GRP, LLC
YORK, PA 17403
33aNPI1942306196assigned 09/15/2006
33bProvider typeOphthalmology Physician
28Total paid$915K
24GClaims23,278
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#9 of 288
Median peer was paid$7K
This provider vs. median132×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,561$11K
20192,032$19K
2020798$28K
20214,879$191K
20225,309$220K
20234,973$278K
2024incomplete3,726$168K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 24% 473 312 $218K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 11% 3,610 3,488 $98K
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 9.9% 1,831 1,756 $91K
92250 8.6% 2,419 2,384 $79K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.4% 1,847 1,058 $68K
92083 7.2% 1,396 1,342 $66K
V2020 Frames, purchases 5.5% 1,585 1,459 $51K
76512 4.6% 734 602 $42K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.8% 806 794 $35K
92134 3.2% 1,607 1,572 $29K
92133 3.1% 1,123 1,102 $28K
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 2.2% 230 224 $20K
16 more codes
99215 Doctor's office visit, returning patient (complex) 1.9% 276 $18K
92284 1.8% 632 $17K
99213 Doctor's office visit, returning patient (routine) 1.6% 440 $15K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.3% 609 $12K
92015 Determination of refractive state <1% 1,368 $7K
99205 Prolong outpt/office vis <1% 56 $6K
V2760 Scratch resistant coating, per lens <1% 688 $5K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 75 $4K
V2750 Anti-reflective coating, per lens <1% 241 $3K
V2744 Tint, photochromatic, per lens <1% 116 $3K
V2025 Deluxe frame <1% 89 $1K
V2781 Progressive lens, per lens <1% 45 $915.00
92020 <1% 38 $576.00
76514 <1% 38 $328.88
V2784 Lens, polycarbonate or equal, any index, per lens <1% 43 $155.00
83861 <1% 863 $75.89

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 officialYEE-ARMAH, SHAWYIN (OWNER)