Gilcrease, Edward
Gilcrease, Edward was paid $1.63M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoGILCREASE, EDWARD
RUSTON, LA 71270
RUSTON, LA 71270
33aNPI1063557551assigned 02/21/2007
33bProvider typeOptometrist
28Total paid$1.63M
24GClaims50,269
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#22 of 442
Median peer was paid$199K
This provider vs. median8.2×
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 | 7,710 | $255K | |
| 2019 | 6,708 | $226K | |
| 2020 | 6,551 | $223K | |
| 2021 | 7,815 | $251K | |
| 2022 | 8,319 | $251K | |
| 2023 | 8,679 | $278K | |
| 2024incomplete | 4,487 | $143K |
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 | 41% | 9,183 | 9,003 | $661K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 2,965 | 2,906 | $261K |
| V2020 | Frames, purchases | 11% | 11,623 | 11,249 | $185K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 7,147 | 6,948 | $177K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.9% | 9,043 | 8,813 | $112K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.0% | 3,515 | 3,426 | $81K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.4% | 1,134 | 1,071 | $71K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.3% | 714 | 703 | $37K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 1,194 | 1,155 | $14K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 192 | 185 | $11K |
| 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% | 159 | 159 | $7K |
| 92015 | Determination of refractive state | <1% | 616 | 598 | $7K |
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.