Virginia Eye Specialists PC

Virginia Eye Specialists PC was paid $113K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoVIRGINIA EYE SPECIALISTS PC
COLONIAL HEIGHTS, VA 23834

33aNPI1215072400assigned 02/21/2007

33bProvider typeOphthalmology Physician

28Total paid$113K

24GClaims4,442

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#32 of 129

Median peer was paid$14K

This provider vs. median8.1×

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	1,205	$7K
2019	1,490	$22K
2020	278	$13K
2021	359	$19K
2022	150	$6K
2023	307	$14K
2024incomplete	653	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	41%	960	734	$47K
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	35%	508	417	$40K
92250		14%	760	663	$16K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	9.4%	355	251	$11K
92015	Determination of refractive state	<1%	13	13	$132.20
G8732	No documentation of pain assessment, reason not given	0%	472	289	$0.00
1036F		0%	476	291	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	474	291	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	424	263	$0.00

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 officialGUPTA, PRANAY (OWNER)