Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pennsylvania Avenue Optometry, PLLC

Pennsylvania Avenue Optometry, PLLC was paid $2K by Medicaid between Jun 2021 and Jul 2021, across 4 billing codes. Its largest line is V2200, Sphere, bifocal, plano to plus or minus 4.00d, per lens — 29% of everything it billed.

33Billing provider infoPENNSYLVANIA AVENUE OPTOMETRY, PLLC
WASHINGTON, DC 20003
33aNPI1558594986assigned 09/02/2009
33bProvider typeOptometrist
28Total paid$2K
24GClaims177
24DCodes billed4
24AFirst – last monthJun 2021 – Jul 2021
Compared with peers

Next to other Optometrist providers in District of Columbia

Rank by total paid#25 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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K2018201920202021202220232024
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
YearClaimsPaid
2021177$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 29% 35 35 $499.31
V2784 Lens, polycarbonate or equal, any index, per lens 25% 55 55 $434.21
V2020 Frames, purchases 24% 54 54 $406.50
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 22% 33 33 $379.98

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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.