Physician
Northern Waters Ophthalmology SC
Northern Waters Ophthalmology SC was paid $48K by Medicaid between Jan 2018 and Aug 2020, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 33% of everything it billed.
33Billing provider infoNORTHERN WATERS OPHTHALMOLOGY SC
ASHLAND, WI 54806
ASHLAND, WI 54806
33aNPI1952354698assigned 05/17/2006
33bProvider typeOphthalmology Physician
28Total paid$48K
24GClaims3,428
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Ophthalmology Physician providers in Wisconsin
Rank by total paid#10 of 43
Median peer was paid$4K
This provider vs. median11×
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 | 1,372 | $14K | |
| 2019 | 1,422 | $22K | |
| 2020 | 634 | $12K |
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 | 33% | 870 | 731 | $16K |
| 92015 | Determination of refractive state | 19% | 1,316 | 993 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 508 | 403 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 206 | 175 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 158 | 123 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.8% | 119 | 107 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | 12 | $129.76 |
| 92134 | <1% | 32 | 24 | $95.46 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 15 | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 56 | 39 | $0.00 |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 15 | 12 | $0.00 |
2 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 officialSNEED, MARK (PRESIDENT)