Physician
Peter Condax, M.D. PC
Peter Condax, M.D. PC was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 92242, — 21% of everything it billed.
33Billing provider infoPETER CONDAX, M.D. PC
ASTORIA, NY 11102
ASTORIA, NY 11102
33aNPI1972704450assigned 05/30/2007
33bProvider typeOphthalmology Physician
28Total paid$1.47M
24GClaims46,755
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in New York
Rank by total paid#76 of 1,085
Median peer was paid$34K
This provider vs. median43×
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 | 4,282 | $149K | |
| 2019 | 8,057 | $255K | |
| 2020 | 4,747 | $130K | |
| 2021 | 7,037 | $216K | |
| 2022 | 6,647 | $249K | |
| 2023 | 8,170 | $240K | |
| 2024incomplete | 7,815 | $227K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92242 | 21% | 1,349 | 1,349 | $301K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 3,302 | 3,252 | $291K |
| 92287 | 13% | 1,441 | 1,440 | $191K | |
| 92134 | 12% | 5,188 | 4,922 | $173K | |
| 92273 | 9.5% | 1,446 | 1,446 | $139K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.5% | 680 | 666 | $51K |
| 67028 | Intravitreal injection of a pharmacologic agent | 3.3% | 543 | 484 | $48K |
| 92226 | 3.2% | 1,687 | 1,189 | $48K | |
| 67228 | 3.2% | 142 | 116 | $47K | |
| 92202 | 2.3% | 2,789 | 2,649 | $34K | |
| 76512 | 2.1% | 588 | 357 | $31K | |
| 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 | 1.9% | 256 | 254 | $28K |
25 more codes
| J9035 | Injection, bevacizumab, 10 mg | 1.7% | 514 | $26K |
| 92082 | 1.4% | 595 | $20K | |
| 92250 | 1.2% | 432 | $18K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 50 | $6K |
| 92201 | <1% | 229 | $5K | |
| 92225 | <1% | 97 | $3K | |
| 95919 | <1% | 332 | $3K | |
| 92235 | <1% | 24 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 12 | $841.70 |
| 92083 | <1% | 12 | $598.20 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 4,752 | $30.84 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 2,493 | $11.01 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 4,760 | $10.38 |
| 1036F | <1% | 3,404 | $10.37 | |
| G8482 | Influenza immunization administered or previously received | <1% | 561 | $5.97 |
| G8483 | Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) | <1% | 626 | $4.40 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | <1% | 41 | $4.40 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 1,460 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 233 | $0.00 |
| 2021F | 0% | 1,140 | $0.00 | |
| 2026F | 0% | 1,466 | $0.00 | |
| 5010F | 0% | 1,194 | $0.00 | |
| 2024F | 0% | 1,431 | $0.00 | |
| 4040F | 0% | 58 | $0.00 | |
| 2022F | 0% | 1,428 | $0.00 |
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 officialCONDAX, PETER (PRESIDENT)