The Optometry Group, PLLC
The Optometry Group, PLLC was paid $483K by Medicaid between Mar 2018 and Dec 2024, across 15 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoTHE OPTOMETRY GROUP, PLLC
NORTON, VA 24273
NORTON, VA 24273
33aNPI1194812008assigned 10/10/2006
33bProvider typeOptometrist
28Total paid$483K
24GClaims11,705
24DCodes billed15
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#37 of 491
Median peer was paid$23K
This provider vs. median21×
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 | 547 | $12K | |
| 2019 | 1,056 | $31K | |
| 2020 | 1,611 | $67K | |
| 2021 | 2,015 | $82K | |
| 2022 | 1,825 | $70K | |
| 2023 | 2,548 | $117K | |
| 2024incomplete | 2,103 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 3,254 | 2,617 | $149K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 28% | 1,705 | 1,526 | $136K |
| 92015 | Determination of refractive state | 8.4% | 3,587 | 3,181 | $41K |
| 92273 | 7.5% | 477 | 415 | $36K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.9% | 307 | 298 | $33K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.3% | 313 | 285 | $21K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.9% | 240 | 211 | $14K |
| 83861 | 2.6% | 420 | 351 | $13K | |
| 92250 | 2.5% | 426 | 392 | $12K | |
| 92083 | 2.0% | 226 | 214 | $9K | |
| 92133 | 1.9% | 424 | 365 | $9K | |
| 92002 | 1.2% | 93 | 87 | $6K |
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 officialHUBBARD, GARY (OWNER)