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.
TACOMA, WA 98405
Next to other Ophthalmology Physician providers in Washington
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,363 | $28K | |
| 2019 | 383 | $8K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Nexus Community Services | Chester, VA | $1.42M |
| Proliance Surgeons, INC., P.S. | Mount Vernon, WA | $246K |
| Berlin Fire Company Emergency Medical Services INC | Berlin, MD | $135K |
| Proliance Surgeons, INC., P.S. | Mount Vernon, WA | $54K |
| Berlin Fire Company INC | Berlin, MD | $27K |
| David Lauren Fitzgerald Od PA | Greenville, NC | $10K |
| David Lauren Fitzgerald Od PA | Plymouth, NC | $7K |
| David Lauren Fitzgerald Od PA | Greenville, NC | $7K |
| David Lauren Fitzgerald Od PA | Greenville, NC | $6K |
| David Lauren Fitzgerald Od PA | Williamston, NC | $3K |
| David Lauren Fitzgerald Od PA | Washington, NC | $3K |
| David Lauren Fitzgerald Od PA | Morehead City, NC | $2K |
| David Lauren Fitzgerald Od PA | Farmville, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.