Berkshire Eye Center PC
Berkshire Eye Center PC was paid $1.66M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoBERKSHIRE EYE CENTER PC
PITTSFIELD, MA 01201
PITTSFIELD, MA 01201
33aNPI1992740302assigned 06/19/2006
33bProvider typeOptometrist
28Total paid$1.66M
24GClaims73,184
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#14 of 629
Median peer was paid$15K
This provider vs. median111×
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 | 10,576 | $185K | |
| 2019 | 12,127 | $254K | |
| 2020 | 9,137 | $198K | |
| 2021 | 14,062 | $270K | |
| 2022 | 11,201 | $257K | |
| 2023 | 8,926 | $275K | |
| 2024incomplete | 7,155 | $226K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 11,083 | 10,940 | $514K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 11,542 | 11,456 | $294K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 3,908 | 3,870 | $232K |
| 92015 | Determination of refractive state | 9.5% | 13,053 | 12,818 | $157K |
| 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 | 6.9% | 2,833 | 2,822 | $114K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.7% | 3,581 | 3,332 | $111K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.1% | 619 | 615 | $52K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.7% | 1,322 | 1,260 | $45K |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.9% | 1,204 | 1,159 | $31K |
| V2020 | Frames, purchases | 1.8% | 1,062 | 1,053 | $31K |
| J9035 | Injection, bevacizumab, 10 mg | 1.7% | 1,194 | 938 | $28K |
| 92134 | 1.5% | 1,834 | 1,787 | $24K |
15 more codes
| 92341 | 1.4% | 713 | $23K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 41 | $3K |
| 92083 | <1% | 53 | $1K | |
| 92136 | <1% | 39 | $955.96 | |
| 92133 | <1% | 58 | $881.52 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 24 | $858.20 |
| 92020 | <1% | 14 | $126.42 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 7,491 | $0.00 |
| G8482 | Influenza immunization administered or previously received | 0% | 2,468 | $0.00 |
| 4040F | 0% | 2,128 | $0.00 | |
| 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 | 0% | 194 | $0.00 |
| 2022F | 0% | 94 | $0.00 | |
| 1036F | 0% | 6,543 | $0.00 | |
| 4177F | 0% | 75 | $0.00 | |
| 2019F | 0% | 14 | $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 officialORLANDO, FRED (VICE PRESIDENT)