Colonial Opthalmology

Colonial Opthalmology was paid $89K by Medicaid between Jan 2018 and Jun 2020, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoCOLONIAL OPTHALMOLOGY
WILLIAMSBURG, VA 23188

33aNPI1295882835assigned 01/05/2007

33bProvider typeOphthalmology Physician

28Total paid$89K

24GClaims6,376

24DCodes billed15

24AFirst – last monthJan 2018 – Jun 2020

Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#38 of 129

Median peer was paid$14K

This provider vs. median6.4×

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

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	2,112	$18K
2019	3,300	$47K
2020	964	$24K

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	37%	749	542	$33K
92250		20%	1,074	757	$18K
83861		18%	1,800	697	$16K
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	15%	155	132	$13K
92015	Determination of refractive state	6.9%	516	423	$6K
92285		1.3%	100	85	$1K
92083		<1%	49	36	$762.98
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	16	12	$577.55
92136		<1%	17	12	$412.66
92025		<1%	16	13	$359.90
1036F		<1%	459	260	$12.90
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	448	251	$9.04

3 more codes

4040F		0%	466	$0.00
G8482	Influenza immunization administered or previously received	0%	439	$0.00
M1065	Shingrix vaccine was not administered for reasons documented by clinician (e.g. patient administered vaccine other than shingrix, patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	72	$0.00

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 officialCAMPBELL, GLENN (ADMINISTRATOR)