Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NORTHERN VIRGINIA EYE ASSOCIATES, PC

NPI: 1336204585 · WOODBRIDGE, VA 22192 · Optometrist · NPI assigned 12/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more

$813K
Total Medicaid Paid
23,949
Total Claims
22,612
Beneficiaries
16
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date12/27/2006

Related Entities

Other providers sharing the same authorized official: DOWNES, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC HARRISONBURG VA $990K
MYEYEDR OPTOMETRY OF DELAWARE PA MIDDLETOWN DE $964K
MYEYEDR OPTOMETRY OF DELAWARE PA GEORGETOWN DE $710K
GOODMAN EYECARE CENTER, LLC FORESTVILLE MD $688K
MY EYE DR. OPTOMETRY GREENBELT , LLC BERWYN HEIGHTS MD $630K
SOUTH HILL OPTOMETRY PLLC SOUTH HILL VA $544K
MYEYEDR OPTOMETRY OF VIRGINIA, PLLC MC LEAN VA $534K
OXON HILL OPTOMETRY, LLC OXON HILL MD $523K
MYEYEDR. OPTOMETRY OF FLORIDA, LLC FERN PARK FL $492K
MYEYEDR OPTOMETRY OF DELAWARE PA BEAR DE $445K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $406K
MYEYEDR OPTOMETRY OF VIRGINIA, PPLC FREDERICKSBURG VA $401K
MYEYEDR OPTOMETRY OF DELAWARE PA WILMINGTON DE $386K
MYEYEDR OPTOMETRY OF MARYLAND, LLC BALTIMORE MD $383K
STAFFORD OPTOMETRY, LLC STAFFORD VA $349K
HYATTSVILLE OPTOMETRY, LLC HYATTSVILLE MD $326K
ASPEN HILL OPTOMETRY, LLC ASPEN HILL MD $325K
MYEYEDR OPTOMETRY OF MARYLAND, LLC WALDORF MD $312K
MILLER EYECARE OF SPRINGFIELD, PLLC SPRINGFIELD VA $309K
MYEYEDR OPTOMETRY OF DELAWARE PA DOVER DE $308K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 543 $4K
2019 2,775 $41K
2020 1,270 $46K
2021 3,294 $104K
2022 3,630 $145K
2023 5,655 $219K
2024 6,782 $254K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4,338 4,085 $281K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,662 2,535 $185K
V2020 Frames, purchases 4,125 3,977 $136K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1,224 1,110 $71K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2,869 2,669 $49K
92015 Determination of refractive state 4,294 4,029 $39K
92340 Fitting of spectacles, except for aphakia; monofocal 1,640 1,519 $21K
V2784 Lens, polycarbonate or equal, any index, per lens 1,130 1,085 $12K
V2025 Deluxe frame 450 418 $11K
V2750 Anti-reflective coating, per lens 531 505 $6K
S0621 Routine ophthalmological examination including refraction; established patient 43 43 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 17 14 $772.50
S0620 Routine ophthalmological examination including refraction; new patient 14 14 $680.00
3072F 430 430 $0.00
V2760 Scratch resistant coating, per lens 169 167 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 13 12 $0.00