Physician
Virginia Ophthalmology Associates, P.C.
Virginia Ophthalmology Associates, P.C. was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoVIRGINIA OPHTHALMOLOGY ASSOCIATES, P.C.
NORFOLK, VA 23502
NORFOLK, VA 23502
33aNPI1275588477assigned 05/24/2006
33bProvider typeOphthalmology Physician
28Total paid$1.07M
24GClaims20,990
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Virginia
Rank by total paid#8 of 129
Median peer was paid$14K
This provider vs. median78×
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 | 1,634 | $83K | |
| 2019 | 2,600 | $144K | |
| 2020 | 2,309 | $118K | |
| 2021 | 3,256 | $152K | |
| 2022 | 3,326 | $168K | |
| 2023 | 4,384 | $234K | |
| 2024incomplete | 3,481 | $176K |
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 | 42% | 5,353 | 5,015 | $454K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 2,029 | 1,920 | $227K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 4,236 | 3,903 | $200K |
| 92015 | Determination of refractive state | 10% | 7,145 | 6,720 | $108K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.9% | 411 | 363 | $21K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.5% | 268 | 230 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.4% | 248 | 241 | $15K |
| 92250 | 1.2% | 709 | 639 | $13K | |
| V2020 | Frames, purchases | <1% | 284 | 282 | $8K |
| 67311 | <1% | 14 | 12 | $4K | |
| 92083 | <1% | 126 | 118 | $4K | |
| 92133 | <1% | 101 | 91 | $2K |
4 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 15 | $909.75 |
| 92082 | <1% | 12 | $371.77 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 14 | $36.96 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 25 | $12.00 |
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 officialLALL-TRAIL, JOEL (OWNER)