Peter T Pham Od, PLLC
Peter T Pham Od, PLLC was paid $41K by Medicaid between Jan 2022 and Nov 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 56% of everything it billed.
33Billing provider infoPETER T PHAM OD, PLLC
GAINESVILLE, VA 20155
GAINESVILLE, VA 20155
33aNPI1457801854assigned 10/10/2016
33bProvider typeOptometrist
28Total paid$41K
24GClaims1,124
24DCodes billed4
24AFirst – last monthJan 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#209 of 491
Median peer was paid$23K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2022 | 167 | $4K | |
| 2023 | 440 | $19K | |
| 2024incomplete | 517 | $18K |
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 | 56% | 203 | 190 | $23K |
| 92250 | 17% | 368 | 347 | $7K | |
| 92015 | Determination of refractive state | 15% | 512 | 488 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 41 | 40 | $4K |
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 officialPHAM, PETER (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| DR Peter T Pham & Associates | Manassas, VA | $175K |
| Samaritan Anesthesiology Medical Group | Los Angeles, CA | $108K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.