Legacy Eye Care
Legacy Eye Care was paid $2.28M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoLEGACY EYE CARE
PETERSBURG, VA 23805
PETERSBURG, VA 23805
33aNPI1033470539assigned 06/01/2012
33bProvider typeOptometrist
28Total paid$2.28M
24GClaims49,719
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#8 of 491
Median peer was paid$23K
This provider vs. median98×
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 | 1,824 | $61K | |
| 2019 | 5,117 | $224K | |
| 2020 | 4,449 | $210K | |
| 2021 | 8,292 | $370K | |
| 2022 | 10,807 | $480K | |
| 2023 | 10,769 | $524K | |
| 2024incomplete | 8,461 | $407K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 7,014 | 6,649 | $774K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 5,685 | 5,374 | $490K |
| 92250 | 8.8% | 7,481 | 7,017 | $200K | |
| 92060 | 8.2% | 3,445 | 3,361 | $186K | |
| 68761 | 7.9% | 3,535 | 1,549 | $180K | |
| 92015 | Determination of refractive state | 6.1% | 12,584 | 11,951 | $139K |
| 92285 | 4.1% | 6,149 | 5,630 | $94K | |
| 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 | 3.4% | 1,098 | 1,023 | $77K |
| 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 | 2.2% | 449 | 437 | $49K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 592 | 533 | $25K |
| 92083 | <1% | 613 | 569 | $21K | |
| 92273 | <1% | 211 | 199 | $17K |
5 more codes
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 officialFOSTER, ROBERT (MEMBER)
| Provider | Location | Paid |
|---|---|---|
| Tree of Life Homecare, LLC | Tracy City, TN | $1.71M |
| Children's Rehabilitation Center | Warren, OH | $384K |
| County of Fremont | Saint Anthony, ID | $84K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.