Medicaid Provider Spending

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

MYEYEDR OPTOMETRY OF VIRGINIA, PLLC

NPI: 1396291381 · CULPEPER, VA 22701 · Optometrist · NPI assigned 08/30/2016

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

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

$628K
Total Medicaid Paid
22,378
Total Claims
21,340
Beneficiaries
14
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDOWNES, SUE (SECRETARY)
NPI Enumeration Date08/30/2016

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
NORTHERN VIRGINIA EYE ASSOCIATES, PC WOODBRIDGE VA $813K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 626 $344.00
2019 5,275 $74K
2020 3,122 $78K
2021 3,589 $94K
2022 3,186 $108K
2023 3,813 $140K
2024 2,767 $133K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3,178 3,070 $245K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1,943 1,883 $164K
V2020 Frames, purchases 4,974 4,756 $86K
92015 Determination of refractive state 4,439 4,212 $54K
92340 Fitting of spectacles, except for aphakia; monofocal 3,495 3,297 $40K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3,065 2,886 $15K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 201 201 $13K
V2410 Variable asphericity lens, single vision, full field, glass or plastic, per lens 47 47 $6K
V2784 Lens, polycarbonate or equal, any index, per lens 201 191 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 25 25 $2K
V2760 Scratch resistant coating, per lens 701 673 $300.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 25 24 $35.50
V2750 Anti-reflective coating, per lens 44 41 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 40 34 $0.00