Toll Gate Vision, LTD
Toll Gate Vision, LTD was paid $49K by Medicaid between Mar 2018 and Oct 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoTOLL GATE VISION, LTD
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1265604862assigned 03/24/2008
33bProvider typeOptometrist
28Total paid$49K
24GClaims2,781
24DCodes billed12
24AFirst – last monthMar 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#67 of 209
Median peer was paid$24K
This provider vs. median2.0×
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 | 378 | $9K | |
| 2019 | 458 | $6K | |
| 2020 | 126 | $1K | |
| 2021 | 717 | $12K | |
| 2022 | 288 | $4K | |
| 2023 | 490 | $10K | |
| 2024incomplete | 324 | $5K |
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 | 38% | 1,010 | 937 | $18K |
| V2020 | Frames, purchases | 20% | 778 | 743 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 144 | 142 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.7% | 245 | 237 | $4K |
| 92015 | Determination of refractive state | 8.2% | 293 | 228 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.4% | 27 | 26 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.8% | 69 | 68 | $892.56 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 45 | 44 | $803.82 |
| 92250 | 1.6% | 52 | 42 | $788.08 | |
| 92341 | 1.6% | 44 | 41 | $760.00 | |
| 92225 | <1% | 24 | 13 | $404.44 | |
| 68761 | <1% | 50 | 44 | $390.60 |
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 officialBLODGETT, PAMELA (PRESIDENT)