DR. Gary H. ST. Clair Optometrist, INC
DR. Gary H. ST. Clair Optometrist, INC was paid $209K by Medicaid between Jan 2018 and Feb 2019, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoDR. GARY H. ST. CLAIR OPTOMETRIST, INC
LYNCHBURG, VA 24502
LYNCHBURG, VA 24502
33aNPI1366577306assigned 02/22/2007
33bProvider typeOptometrist
28Total paid$209K
24GClaims6,102
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#92 of 491
Median peer was paid$23K
This provider vs. median8.9×
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 | 4,646 | $155K | |
| 2019 | 1,456 | $53K |
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 | 28% | 1,376 | 1,260 | $59K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 1,090 | 1,006 | $56K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25% | 1,086 | 773 | $52K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.6% | 361 | 278 | $14K |
| V2020 | Frames, purchases | 6.3% | 487 | 477 | $13K |
| V2025 | Deluxe frame | 2.8% | 117 | 93 | $6K |
| 92015 | Determination of refractive state | 2.4% | 963 | 783 | $5K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.0% | 55 | 55 | $4K |
| 99199 | Unlisted special service, procedure or report | 0% | 219 | 182 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 217 | 170 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 31 | 24 | $0.00 |
| 1036F | 0% | 82 | 65 | $0.00 |
1 more codes
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 18 | $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 officialKAHN, LINDA (PRACTICE ADMINISTRATOR)