Visual Edge Optomertic Group
Visual Edge Optomertic Group was paid $4K by Medicaid between Jan 2018 and Sep 2018, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoVISUAL EDGE OPTOMERTIC GROUP
GILROY, CA 95020
GILROY, CA 95020
33aNPI1225028236assigned 10/21/2005
33bProvider typeOptometrist
28Total paid$4K
24GClaims816
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2018
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,347 of 1,899
Median peer was paid$23K
This provider vs. median0.2×
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 | 816 | $4K |
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 | 40% | 218 | 218 | $2K |
| V2020 | Frames, purchases | 27% | 138 | 131 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 121 | 114 | $544.41 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.9% | 42 | 42 | $390.50 |
| 92015 | Determination of refractive state | 9.9% | 297 | 297 | $389.34 |
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 officialKOVACH, PETER (VICE PRESIDENT)