Gatten Eye Care, PLLC

Gatten Eye Care, PLLC was paid $379K by Medicaid between Dec 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.

33Billing provider infoGATTEN EYE CARE, PLLC
FRANKLIN, VA 23851

33aNPI1235307075assigned 02/14/2008

33bProvider typeEyewear Supplier

28Total paid$379K

24GClaims7,219

24DCodes billed12

24AFirst – last monthDec 2018 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in Virginia

Rank by total paid#2 of 53

Median peer was paid$20K

This provider vs. median18×

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	13	$1K
2019	415	$23K
2020	310	$21K
2021	1,617	$78K
2022	1,694	$86K
2023	1,764	$92K
2024incomplete	1,406	$76K

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	46%	2,353	2,264	$173K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	22%	1,075	1,056	$85K
V2020	Frames, purchases	9.6%	594	590	$36K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	6.8%	803	799	$26K
V2025	Deluxe frame	6.5%	482	482	$25K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.8%	287	257	$14K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2.9%	191	191	$11K
92015	Determination of refractive state	1.7%	1,154	1,115	$6K
92133		<1%	74	69	$2K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	167	164	$924.75
V2750	Anti-reflective coating, per lens	<1%	27	27	$146.26
V2755	U-v lens, per lens	<1%	12	12	$7.77

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 officialGATTEN, ERNEST (OPTOMETRIST)