Vistar Eye Center, INC

Vistar Eye Center, INC was paid $11.40M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 37% of everything it billed.

33Billing provider infoVISTAR EYE CENTER, INC
ROANOKE, VA 24016

33aNPI1457323545assigned 02/03/2006

33bProvider typeEyewear Supplier

28Total paid$11.40M

24GClaims129,752

24DCodes billed37

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in Virginia

Rank by total paid#1 of 53

Median peer was paid$20K

This provider vs. median556×

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	7,716	$290K
2019	19,234	$1.37M
2020	14,678	$1.34M
2021	20,300	$1.56M
2022	25,343	$2.40M
2023	26,726	$2.79M
2024incomplete	15,755	$1.64M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
J0178	Injection, aflibercept, 1 mg	37%	3,301	3,088	$4.22M
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	15%	25,143	22,875	$1.68M
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	5.9%	6,592	6,266	$677K
J2778	Injection, ranibizumab, 0.1 mg	5.4%	1,107	904	$621K
67028	Intravitreal injection of a pharmacologic agent	5.3%	11,504	10,250	$602K
J2777	Injection, faricimab-svoa, 0.1 mg	4.4%	355	319	$503K
92060		4.0%	9,172	8,750	$457K
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	3.3%	5,981	5,565	$378K
92134		3.3%	19,001	16,842	$378K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.0%	6,073	5,157	$347K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	2.2%	1,537	1,130	$252K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2.1%	4,317	4,034	$240K

25 more codes

92015	Determination of refractive state	1.9%	14,461	$217K
V2025	Deluxe frame	1.6%	3,002	$186K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	1.3%	1,830	$151K
92083		1.0%	4,051	$118K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	2,471	$85K
99204	Doctor's office visit, new patient (more involved)	<1%	679	$58K
92136		<1%	2,678	$57K
92133		<1%	2,125	$43K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	434	$22K
J9035	Injection, bevacizumab, 10 mg	<1%	268	$19K
92250		<1%	662	$19K
92226		<1%	988	$15K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	366	$13K
92235		<1%	251	$12K
92285		<1%	895	$12K
99232	Hospital visit by a doctor, follow-up day	<1%	229	$10K
99203	Doctor's office visit, new patient (routine)	<1%	36	$3K
99221		<1%	47	$2K
92225		<1%	67	$1K
92002		<1%	12	$771.75
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	<1%	26	$500.66
V2020	Frames, purchases	<1%	12	$361.00
92020		<1%	32	$350.79
92201		<1%	18	$327.44
76514		<1%	29	$203.87

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 officialLEVY, PAUL (ADMINISTRATOR)