Potomac Ophthalmology PC

Potomac Ophthalmology PC was paid $44K by Medicaid between Aug 2018 and Aug 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 84% of everything it billed.

33Billing provider infoPOTOMAC OPHTHALMOLOGY PC
WOODBRIDGE, VA 22191

33aNPI1194982819assigned 05/20/2008

33bProvider typeOphthalmology Physician

28Total paid$44K

24GClaims534

24DCodes billed5

24AFirst – last monthAug 2018 – Aug 2024

Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#49 of 129

Median peer was paid$14K

This provider vs. median3.2×

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	17	$2K
2019	28	$2K
2021	112	$9K
2022	113	$10K
2023	107	$9K
2024incomplete	157	$12K

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	84%	383	346	$37K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	7.7%	43	41	$3K
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	4.2%	26	25	$2K
92134		3.1%	58	55	$1K
92015	Determination of refractive state	<1%	24	24	$379.56

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 officialO'DEA, MAUREEN (PRESIDENT)