Paviglianiti, Joseph

Paviglianiti, Joseph was paid $288K by Medicaid between Jul 2018 and Aug 2024, across 10 billing codes. Its largest line is 92060, — 32% of everything it billed.

33Billing provider infoPAVIGLIANITI, JOSEPH
FREDERICKSBURG, VA 22401

33aNPI1205809597assigned 02/08/2006

33bProvider typeOphthalmology Physician

28Total paid$288K

24GClaims9,038

24DCodes billed10

24AFirst – last monthJul 2018 – Aug 2024

Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#20 of 129

Median peer was paid$14K

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	64	$4K
2020	313	$9K
2021	1,828	$60K
2022	2,111	$70K
2023	2,933	$88K
2024incomplete	1,789	$58K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92060		32%	2,499	2,457	$92K
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	29%	1,470	1,418	$84K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	12%	373	367	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	11%	851	826	$32K
92015	Determination of refractive state	8.9%	3,337	3,298	$26K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	4.1%	230	222	$12K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	1.5%	79	75	$4K
92250		<1%	35	31	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	46	46	$1K
99072		<1%	118	117	$556.50

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.