Clinic
Envision Professional Group, PLLC
Envision Professional Group, PLLC was paid $4.74M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 21% of everything it billed.
33Billing provider infoENVISION PROFESSIONAL GROUP, PLLC
MARION, VA 24354
MARION, VA 24354
33aNPI1427155472assigned 09/20/2006
33bProvider typeClinic/Center
28Total paid$4.74M
24GClaims113,199
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Virginia
Rank by total paid#2 of 50
Median peer was paid$120K
This provider vs. median40×
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 | 8,343 | $173K | |
| 2019 | 14,203 | $552K | |
| 2020 | 13,037 | $550K | |
| 2021 | 19,161 | $701K | |
| 2022 | 18,041 | $795K | |
| 2023 | 22,294 | $1.06M | |
| 2024incomplete | 18,120 | $907K |
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 | 21% | 10,396 | 9,868 | $1.01M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 11,450 | 10,510 | $945K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 10,579 | 9,906 | $727K |
| V2020 | Frames, purchases | 12% | 11,012 | 10,861 | $563K |
| 92015 | Determination of refractive state | 9.1% | 29,943 | 28,075 | $432K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.4% | 6,347 | 5,693 | $305K |
| 92250 | 4.8% | 8,932 | 8,192 | $230K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 4,069 | 3,550 | $212K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 2,690 | 2,545 | $80K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.3% | 617 | 578 | $61K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 554 | 549 | $42K |
| 92083 | <1% | 655 | 620 | $26K |
27 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 4,850 | $21K |
| 83861 | <1% | 1,461 | $20K | |
| 92133 | <1% | 606 | $16K | |
| 92082 | <1% | 430 | $15K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 181 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 409 | $8K |
| 92134 | <1% | 149 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 50 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 38 | $2K |
| 99072 | <1% | 2,496 | $1K | |
| V2750 | Anti-reflective coating, per lens | <1% | 479 | $1K |
| 76514 | <1% | 109 | $947.13 | |
| V2025 | Deluxe frame | <1% | 17 | $906.84 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | $685.00 |
| V2755 | U-v lens, per lens | <1% | 689 | $363.40 |
| V2744 | Tint, photochromatic, per lens | <1% | 249 | $296.44 |
| V2760 | Scratch resistant coating, per lens | <1% | 13 | $140.00 |
| V2781 | Progressive lens, per lens | <1% | 15 | $26.59 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 998 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 340 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 234 | $0.00 |
| 1036F | 0% | 67 | $0.00 | |
| G9366 | One high-risk medication not ordered | 0% | 30 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,767 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 39 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 197 | $0.00 |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 30 | $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 officialBLEVINS, TINA (ADMINISTRATOR)
Parent organizationSMYTH COUNTY EYE ASSOCIATES, INC.