Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Eye Specialists and Surgeons of Northern Virginia, LLC

Eye Specialists and Surgeons of Northern Virginia, LLC was paid $6K by Medicaid between Sep 2019 and May 2023, across 3 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 78% of everything it billed.

33Billing provider infoEYE SPECIALISTS AND SURGEONS OF NORTHERN VIRGINIA, LLC
FAIRFAX, VA 22033
33aNPI1275904674assigned 10/12/2015
33bProvider typeOphthalmology Physician
28Total paid$6K
24GClaims125
24DCodes billed3
24AFirst – last monthSep 2019 – May 2023
Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#79 of 129
Median peer was paid$14K
This provider vs. median0.4×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
201914$970.49
202113$693.05
202281$3K
202317$741.61
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 78% 80 69 $5K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13% 17 14 $741.61
92250 9.4% 28 26 $551.26

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 officialJOSEPHSON, JOHN (OWNER)