Edgewater Eyecare LLC
Edgewater Eyecare LLC was paid $65K by Medicaid between May 2018 and Mar 2022, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 75% of everything it billed.
33Billing provider infoEDGEWATER EYECARE LLC
HAMPTON, VA 23666
HAMPTON, VA 23666
33aNPI1033470935assigned 06/06/2012
33bProvider typeOptometrist
28Total paid$65K
24GClaims1,810
24DCodes billed3
24AFirst – last monthMay 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#182 of 491
Median peer was paid$23K
This provider vs. median2.8×
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 | 161 | $6K | |
| 2019 | 522 | $20K | |
| 2020 | 699 | $25K | |
| 2021 | 416 | $14K | |
| 2022 | 12 | $480.00 |
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 | 75% | 1,193 | 1,185 | $49K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 426 | 419 | $17K |
| 92015 | Determination of refractive state | 0% | 191 | 190 | $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 officialNICHOLAS, RICHARD (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Nicholas & Meland Family Eyecare, LLC | Hampton, VA | $399K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.