Culpeper Eye Associates, INC
Culpeper Eye Associates, INC was paid $12K by Medicaid between Feb 2018 and Nov 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 88% of everything it billed.
33Billing provider infoCULPEPER EYE ASSOCIATES, INC
CULPEPER, VA 22701
CULPEPER, VA 22701
33aNPI1447414867assigned 07/15/2008
33bProvider typeOptometrist
28Total paid$12K
24GClaims302
24DCodes billed5
24AFirst – last monthFeb 2018 – Nov 2020
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#291 of 491
Median peer was paid$23K
This provider vs. median0.5×
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 | 70 | $188.31 | |
| 2019 | 178 | $9K | |
| 2020 | 54 | $3K |
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 | 88% | 147 | 135 | $11K |
| 92015 | Determination of refractive state | 9.8% | 89 | 80 | $1K |
| V2020 | Frames, purchases | 2.5% | 16 | 13 | $309.00 |
| 1036F | 0% | 17 | 13 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 33 | 26 | $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 officialELIAS, JAMES (OWNERS)