DR Clifford Roffis and Associates Odpc
DR Clifford Roffis and Associates Odpc was paid $560K by Medicaid between Jan 2018 and Jul 2023, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoDR CLIFFORD ROFFIS AND ASSOCIATES ODPC
RICHMOND, VA 23231
RICHMOND, VA 23231
33aNPI1184788457assigned 12/21/2006
33bProvider typeOptometrist
28Total paid$560K
24GClaims11,515
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#28 of 491
Median peer was paid$23K
This provider vs. median24×
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 | |
|---|---|---|---|
| 2018 | 1,306 | $50K | |
| 2019 | 2,979 | $136K | |
| 2020 | 2,020 | $104K | |
| 2021 | 3,194 | $157K | |
| 2022 | 1,508 | $85K | |
| 2023 | 508 | $27K |
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 | 31% | 2,667 | 2,614 | $176K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 2,869 | 2,808 | $163K |
| V2020 | Frames, purchases | 17% | 2,276 | 2,266 | $97K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 1,368 | 1,331 | $80K |
| 92015 | Determination of refractive state | 3.4% | 1,608 | 1,534 | $19K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.2% | 300 | 296 | $18K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 42 | 42 | $2K |
| 92310 | <1% | 12 | 12 | $1K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 24 | 24 | $1K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $1K |
| 92250 | <1% | 24 | 24 | $904.52 | |
| V2025 | Deluxe frame | <1% | 26 | 26 | $713.28 |
3 more codes
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 officialROFFIS, CLIFFORD (OWNER)