Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTH HILL OPTOMETRY PLLC

NPI: 1093763203 · SOUTH HILL, VA 23970 · Optometrist · NPI assigned 05/04/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$544K
Total Medicaid Paid
12,442
Total Claims
12,056
Beneficiaries
15
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date05/04/2006

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $308K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,241 $67K
2019 1,816 $64K
2020 692 $28K
2021 922 $38K
2022 1,796 $92K
2023 2,537 $126K
2024 2,438 $129K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
V2020 Frames, purchases 3,078 3,018 $152K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2,408 2,338 $127K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,975 1,913 $93K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,234 1,207 $75K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 960 917 $41K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 441 440 $34K
S0621 Routine ophthalmological examination including refraction; established patient 111 111 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 453 446 $5K
92015 Determination of refractive state 1,352 1,249 $4K
S0620 Routine ophthalmological examination including refraction; new patient 42 42 $2K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 60 60 $2K
V2760 Scratch resistant coating, per lens 178 176 $1K
V2025 Deluxe frame 56 56 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 63 53 $775.33
92340 Fitting of spectacles, except for aphakia; monofocal 31 30 $0.00