Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › South Hill › NPI 1093763203

South Hill Optometry PLLC

South Hill Optometry PLLC was paid $544K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is V2020, Frames, purchases — 28% of everything it billed.

33Billing provider infoSOUTH HILL OPTOMETRY PLLC
SOUTH HILL, VA 23970
33aNPI1093763203assigned 05/04/2006
33bProvider typeOptometrist
28Total paid$544K
24GClaims12,442
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#29 of 491
Median peer was paid$23K
This provider vs. median23×

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
20182,241$67K
20191,816$64K
2020692$28K
2021922$38K
20221,796$92K
20232,537$126K
2024incomplete2,438$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 28% 3,078 3,018 $152K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 2,408 2,338 $127K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 1,975 1,913 $93K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14% 1,234 1,207 $75K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.6% 960 917 $41K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6.3% 441 440 $34K
S0621 Routine ophthalmological examination including refraction; established patient <1% 111 111 $5K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 453 446 $5K
92015 Determination of refractive state <1% 1,352 1,249 $4K
S0620 Routine ophthalmological examination including refraction; new patient <1% 42 42 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 60 60 $2K
V2760 Scratch resistant coating, per lens <1% 178 176 $1K
3 more codes
V2025 Deluxe frame <1% 56 $1K
99213 Doctor's office visit, returning patient (routine) <1% 63 $775.33
92340 Fitting of spectacles, except for aphakia; monofocal 0% 31 $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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

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