Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Proliance Surgeons, INC., P.S.

Proliance Surgeons, INC., P.S. was paid $36K by Medicaid between Jan 2018 and Aug 2019, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 19% of everything it billed.

33Billing provider infoPROLIANCE SURGEONS, INC., P.S.
TACOMA, WA 98405
33aNPI1952835035assigned 04/17/2017
33bProvider typeOphthalmology Physician
28Total paid$36K
24GClaims1,746
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Ophthalmology Physician providers in Washington

Rank by total paid#23 of 69
Median peer was paid$8K
This provider vs. median4.4×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official FITZGERALD, DAVID controls 13+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
20181,363$28K
2019383$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 94 88 $7K
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 17% 233 207 $6K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 14% 196 165 $5K
99310 Prolong nursin fac eval 15m 12% 266 253 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 207 197 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10% 170 154 $4K
99306 Prolong nursin fac eval 15m 6.1% 69 65 $2K
92015 Determination of refractive state 5.8% 410 272 $2K
92341 2.2% 42 41 $795.03
92083 <1% 31 28 $267.95
92133 <1% 28 27 $174.07

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 officialFITZGERALD, DAVID (CEO)
Same official

Other billing entities under FITZGERALD, DAVID

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.