Avallone, Gary
Avallone, Gary was paid $42K by Medicaid between Dec 2018 and Jun 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoAVALLONE, GARY
RUSTON, LA 71270
RUSTON, LA 71270
33aNPI1457300261assigned 05/09/2006
33bProvider typeOptometrist
28Total paid$42K
24GClaims2,928
24DCodes billed11
24AFirst – last monthDec 2018 – Jun 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#327 of 442
Median peer was paid$199K
This provider vs. median0.2×
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 | 29 | $488.48 | |
| 2019 | 826 | $15K | |
| 2020 | 549 | $8K | |
| 2021 | 245 | $2K | |
| 2022 | 362 | $4K | |
| 2023 | 401 | $2K | |
| 2024incomplete | 516 | $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 | 30% | 141 | 138 | $12K |
| V2020 | Frames, purchases | 26% | 722 | 636 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 90 | 83 | $6K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 13% | 445 | 422 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 259 | 220 | $4K |
| 92015 | Determination of refractive state | 3.9% | 534 | 485 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.7% | 81 | 58 | $704.52 |
| 92250 | <1% | 522 | 468 | $391.08 | |
| V2799 | Vision item or service, miscellaneous | <1% | 19 | 14 | $88.92 |
| 92025 | <1% | 61 | 58 | $20.65 | |
| 92082 | 0% | 54 | 51 | $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.