Tuscaloosa Ophthalmology, INC.
Tuscaloosa Ophthalmology, INC. was paid $690K by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.
33Billing provider infoTUSCALOOSA OPHTHALMOLOGY, INC.
TUSCALOOSA, AL 35404
TUSCALOOSA, AL 35404
33aNPI1487728218assigned 11/20/2006
33bProvider typeOptometrist
28Total paid$690K
24GClaims26,886
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#30 of 346
Median peer was paid$59K
This provider vs. median12×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more
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 | 4,704 | $113K | |
| 2019 | 4,282 | $113K | |
| 2020 | 3,436 | $89K | |
| 2021 | 3,712 | $87K | |
| 2022 | 5,229 | $82K | |
| 2023 | 3,284 | $101K | |
| 2024incomplete | 2,239 | $106K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 48% | 7,839 | 6,711 | $333K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 3,160 | 2,743 | $213K |
| 92015 | Determination of refractive state | 9.3% | 11,590 | 9,280 | $64K |
| 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 | 4.0% | 1,053 | 748 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 1,072 | 922 | $18K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.2% | 123 | 65 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 359 | 260 | $4K |
| 92136 | <1% | 302 | 224 | $4K | |
| 92134 | <1% | 240 | 211 | $3K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 88 | 88 | $2K |
| 92133 | <1% | 193 | 163 | $2K | |
| 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% | 27 | 25 | $2K |
9 more codes
| 92020 | <1% | 123 | $1K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 15 | $525.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 32 | $411.94 |
| 92250 | <1% | 16 | $316.46 | |
| V2750 | Anti-reflective coating, per lens | <1% | 176 | $150.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 164 | $37.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 128 | $17.20 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 26 | $8.60 |
| V2020 | Frames, purchases | <1% | 160 | $8.00 |
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 officialGIRA, JOSEPH (CMO/AUTHORIZED OFFICIAL)
| Provider | Location | Paid |
|---|---|---|
| Nationwide Vision Center, LLC | Mesa, AZ | $42.44M |
| Retina and Vitreous Associates of Kentucky PLLC | Lexington, KY | $13.25M |
| Blue Sky Vision Eye Care, P.C | Grand Rapids, MI | $9.34M |
| Virginia Eye Consultants INC | Norfolk, VA | $8.26M |
| Eye Centers of Louisville,psc | Louisville, KY | $7.49M |
| Grene Vision Group LLC | Wichita, KS | $6.29M |
| Shoreline Ophthalmology, PLLC | Muskegon, MI | $3.10M |
| Mcpeak Vision Partners PLLC | Glasgow, KY | $2.58M |
| Steven A. Kuhl Od, LLC | Wichita, KS | $2.36M |
| Virginia Surgery Center, LLC | Norfolk, VA | $1.22M |
| John Kenyon American Eye Institute LLC | New Albany, IN | $904K |
| John Kenyon American Eye Institute LLC | Elizabethtown, KY | $866K |
| Monmouth Retina Consultants, P.A. | Little Silver, NJ | $476K |
| Eye Associates of Oklahoma PLLC | Oklahoma City, OK | $197K |
| The Ophthalmology Group, LLC | Paducah, KY | $143K |
| Emilio Martin Justo MD PC | Sun City, AZ | $131K |
| Reynolds & Anliker Eye Physicians & Surgeons LLC | Emporia, KS | $92K |
| Shoreline Ophthalmology, PLLC | Muskegon, MI | $73K |
| Florence Ophthalmology LLC | Florence, AL | $42K |
| Frisco Eye Associates | Frisco, TX | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.