Physician
Pediatric Ophthalmology P.C.
Pediatric Ophthalmology P.C. was paid $5.67M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoPEDIATRIC OPHTHALMOLOGY P.C.
FRESH MEADOWS, NY 11366
FRESH MEADOWS, NY 11366
33aNPI1942318563assigned 08/25/2006
33bProvider typeOphthalmology Physician
28Total paid$5.67M
24GClaims65,576
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#12 of 1,085
Median peer was paid$34K
This provider vs. median168×
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 | 12,253 | $881K | |
| 2019 | 10,360 | $974K | |
| 2020 | 9,053 | $791K | |
| 2021 | 9,677 | $875K | |
| 2022 | 9,239 | $803K | |
| 2023 | 8,501 | $738K | |
| 2024incomplete | 6,493 | $608K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 32% | 10,697 | 10,697 | $1.84M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 12,028 | 12,022 | $1.76M |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 11% | 6,278 | 6,205 | $641K |
| 92015 | Determination of refractive state | 7.7% | 24,043 | 24,033 | $436K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.8% | 2,519 | 2,484 | $273K |
| 92060 | 3.9% | 3,013 | 3,002 | $222K | |
| 99243 | 2.5% | 1,020 | 1,019 | $142K | |
| 92225 | 2.2% | 2,629 | 2,009 | $124K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 956 | 956 | $123K |
| 92250 | 1.4% | 1,526 | 1,524 | $78K | |
| 67311 | <1% | 19 | 13 | $12K | |
| 92285 | <1% | 480 | 476 | $10K |
3 more codes
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 officialLICHTENSTEIN, LAURA (PRACTICE ADMINISTRATOR)