Ly, Van
Ly, Van was paid $115K by Medicaid between Jan 2018 and Mar 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.
33Billing provider infoLY, VAN
OLYMPIA, WA 98501
OLYMPIA, WA 98501
33aNPI1386836591assigned 08/11/2007
33bProvider typeOptometrist
28Total paid$115K
24GClaims4,025
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#138 of 565
Median peer was paid$23K
This provider vs. median4.9×
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 | 1,154 | $27K | |
| 2019 | 1,715 | $48K | |
| 2020 | 893 | $29K | |
| 2021 | 263 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 50% | 818 | 810 | $57K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 28% | 1,777 | 1,624 | $33K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 191 | 190 | $13K |
| 92015 | Determination of refractive state | 10% | 1,239 | 1,215 | $12K |
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.