Worcester Ophthalmology Associates, INC

Worcester Ophthalmology Associates, INC was paid $90K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 80% of everything it billed.

33Billing provider infoWORCESTER OPHTHALMOLOGY ASSOCIATES, INC
WORCESTER, MA 01605

33aNPI1992755359assigned 05/10/2006

33bProvider typeOphthalmology Physician

28Total paid$90K

24GClaims2,331

24DCodes billed6

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#61 of 203

Median peer was paid$18K

This provider vs. median5.1×

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	379	$17K
2019	331	$13K
2020	325	$10K
2021	498	$20K
2022	630	$24K
2023	119	$6K
2024incomplete	49	$1K

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	80%	1,524	1,521	$72K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	11%	151	150	$10K
92015	Determination of refractive state	8.3%	582	581	$7K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	28	25	$682.68
92136		<1%	15	12	$376.66
99072		0%	31	30	$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 officialWEISMAN, STUART (PRESIDENT WORCESTER OPHTHALMOLOGY)