Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Stafford Optometry, LLC

Stafford Optometry, LLC was paid $349K by Medicaid between Oct 2018 and Dec 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.

33Billing provider infoSTAFFORD OPTOMETRY, LLC
STAFFORD, VA 22556
33aNPI1063578524assigned 12/29/2006
33bProvider typeOptometrist
28Total paid$349K
24GClaims8,631
24DCodes billed12
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#56 of 491
Median peer was paid$23K
This provider vs. median15×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
201812$537.00
2019116$5K
2020317$11K
20211,168$46K
20221,389$64K
20233,511$131K
2024incomplete2,118$93K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35% 1,860 1,835 $121K
V2020 Frames, purchases 23% 2,003 1,985 $79K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 17% 978 923 $58K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15% 850 839 $52K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5.0% 684 659 $17K
92015 Determination of refractive state 2.2% 1,040 1,010 $8K
92340 Fitting of spectacles, except for aphakia; monofocal 1.2% 261 254 $4K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 583 568 $3K
V2025 Deluxe frame <1% 128 115 $3K
V2750 Anti-reflective coating, per lens <1% 179 176 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 19 14 $719.50
V2760 Scratch resistant coating, per lens <1% 46 43 $153.00

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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.