Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › VA › Woodbridge › NPI 1336204585

Northern Virginia Eye Associates, PC

Northern Virginia Eye Associates, PC was paid $813K by Medicaid between Oct 2018 and Nov 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.

33Billing provider infoNORTHERN VIRGINIA EYE ASSOCIATES, PC
WOODBRIDGE, VA 22192
33aNPI1336204585assigned 12/27/2006
33bProvider typeOptometrist
28Total paid$813K
24GClaims23,949
24DCodes billed16
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#17 of 491
Median peer was paid$23K
This provider vs. median35×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
2018543$4K
20192,775$41K
20201,270$46K
20213,294$104K
20223,630$145K
20235,655$219K
2024incomplete6,782$254K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35% 4,338 4,085 $281K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 2,662 2,535 $185K
V2020 Frames, purchases 17% 4,125 3,977 $136K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.7% 1,224 1,110 $71K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 6.0% 2,869 2,669 $49K
92015 Determination of refractive state 4.8% 4,294 4,029 $39K
92340 Fitting of spectacles, except for aphakia; monofocal 2.6% 1,640 1,519 $21K
V2784 Lens, polycarbonate or equal, any index, per lens 1.5% 1,130 1,085 $12K
V2025 Deluxe frame 1.4% 450 418 $11K
V2750 Anti-reflective coating, per lens <1% 531 505 $6K
S0621 Routine ophthalmological examination including refraction; established patient <1% 43 43 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 17 14 $772.50
4 more codes
S0620 Routine ophthalmological examination including refraction; new patient <1% 14 $680.00
3072F 0% 430 $0.00
V2760 Scratch resistant coating, per lens 0% 169 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 0% 13 $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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.