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

Ballston Optometry, LLC was paid $258K by Medicaid between Oct 2018 and Nov 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.

33Billing provider infoBALLSTON OPTOMETRY, LLC
ARLINGTON, VA 22203
33aNPI1083779094assigned 12/27/2006
33bProvider typeOptometrist
28Total paid$258K
24GClaims8,008
24DCodes billed10
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#78 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.

Auditor's notes

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

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

Paid by month

$0$5.0K$10K2018201920202021202220232024
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
201853$229.46
20191,024$23K
2020728$21K
20211,473$41K
20221,491$53K
20231,639$55K
2024incomplete1,600$65K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 33% 1,073 1,045 $86K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 28% 1,029 996 $74K
V2020 Frames, purchases 18% 1,598 1,560 $47K
92015 Determination of refractive state 6.8% 1,519 1,446 $17K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 6.2% 1,179 1,122 $16K
92340 Fitting of spectacles, except for aphakia; monofocal 4.3% 860 834 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.5% 68 62 $4K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 513 496 $2K
V2750 Anti-reflective coating, per lens <1% 157 153 $740.91
V2025 Deluxe frame <1% 12 12 $252.18

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 officialHEALEY, SUE (SECRETARY)
Same official

Other billing entities under HEALEY, SUE

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