Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Joseph E. Droter, Od, PC

Joseph E. Droter, Od, PC was paid $246K by Medicaid between Jan 2019 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.

33Billing provider infoJOSEPH E. DROTER, OD, PC
RICHMOND, VA 23233
33aNPI1063739209assigned 04/28/2010
33bProvider typeOptometrist
28Total paid$246K
24GClaims6,149
24DCodes billed8
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#80 of 491
Median peer was paid$23K
This provider vs. median11×

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

$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
2019240$11K
2020397$13K
2021900$28K
2022886$31K
20231,743$71K
2024incomplete1,983$93K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 30% 1,471 1,462 $74K
V2020 Frames, purchases 29% 1,320 1,319 $71K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 1,145 1,134 $53K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13% 543 543 $32K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.9% 296 295 $12K
V2784 Lens, polycarbonate or equal, any index, per lens 1.1% 281 280 $3K
V2025 Deluxe frame <1% 13 13 $706.88
92015 Determination of refractive state <1% 1,080 1,056 $697.69

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 officialDROTER, JOSEPH (OPTOMETRIST)