Optical Gallery INC
Optical Gallery INC was paid $3K by Medicaid between Jul 2020 and Aug 2022, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.
33Billing provider infoOPTICAL GALLERY INC
WASHINGTON, DC 20036
WASHINGTON, DC 20036
33aNPI1487729026assigned 11/21/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims184
24DCodes billed5
24AFirst – last monthJul 2020 – Aug 2022
Compared with peers
Next to other Optometrist providers in District of Columbia
Rank by total paid#23 of 27
Median peer was paid$98K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2020 | 37 | $700.00 | |
| 2021 | 26 | $480.00 | |
| 2022 | 121 | $2K |
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 | 47% | 37 | 37 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 30% | 40 | 40 | $914.80 |
| V2020 | Frames, purchases | 17% | 26 | 26 | $520.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.0% | 28 | 28 | $185.56 |
| 92015 | Determination of refractive state | 0% | 53 | 53 | $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 officialKHALIL, SAM (MANAGER)