Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Falls Church Optometry, LLC

Falls Church Optometry, LLC was paid $97K by Medicaid between Oct 2018 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.

33Billing provider infoFALLS CHURCH OPTOMETRY, LLC
FALLS CHURCH, VA 22043
33aNPI1235400805assigned 01/13/2012
33bProvider typeOptometrist
28Total paid$97K
24GClaims3,117
24DCodes billed8
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#147 of 491
Median peer was paid$23K
This provider vs. median4.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official HEALEY, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018161$16.39
2019387$5K
2020178$6K
2021678$21K
2022452$16K
2023499$20K
2024incomplete762$28K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 32% 450 424 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 443 415 $31K
V2020 Frames, purchases 19% 683 661 $19K
92015 Determination of refractive state 7.3% 769 740 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.6% 417 403 $5K
92340 Fitting of spectacles, except for aphakia; monofocal 3.4% 316 299 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 14 12 $875.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 25 25 $60.00

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 officialHEALEY, SUE (SECRETARY)
Same official

Other billing entities under HEALEY, SUE

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.