Gallup Eye Group LLC
Gallup Eye Group LLC was paid $1.76M by Medicaid between Oct 2019 and Dec 2024, across 17 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoGALLUP EYE GROUP LLC
GALLUP, NM 87301
GALLUP, NM 87301
33aNPI1073090650assigned 07/26/2018
33bProvider typeOptometrist
28Total paid$1.76M
24GClaims39,450
24DCodes billed17
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Mexico
Rank by total paid#9 of 122
Median peer was paid$112K
This provider vs. median16×
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 | |
|---|---|---|---|
| 2019 | 464 | $17K | |
| 2020 | 3,103 | $99K | |
| 2021 | 8,665 | $267K | |
| 2022 | 9,393 | $351K | |
| 2023 | 9,755 | $492K | |
| 2024incomplete | 8,070 | $529K |
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 | 43% | 6,623 | 6,477 | $763K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 3,236 | 3,211 | $361K |
| V2020 | Frames, purchases | 14% | 6,835 | 6,739 | $252K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.3% | 3,808 | 3,734 | $110K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.4% | 2,670 | 2,628 | $77K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.7% | 1,302 | 1,293 | $48K |
| 92015 | Determination of refractive state | 2.4% | 7,562 | 7,387 | $42K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.0% | 3,621 | 3,568 | $35K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.4% | 753 | 753 | $24K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.2% | 2,474 | 2,472 | $21K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 292 | 291 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 102 | 93 | $5K |
5 more codes
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 61 | $2K |
| 92341 | <1% | 58 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 28 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $409.56 |
| V2799 | Vision item or service, miscellaneous | 0% | 12 | $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 officialMCGRAW, BRANDI (PRESIDENT/OD)