Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Staunton Eye Clinic PLC

Staunton Eye Clinic PLC was paid $5K by Medicaid between May 2019 and Dec 2023, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 55% of everything it billed.

33Billing provider infoSTAUNTON EYE CLINIC PLC
STAUNTON, VA 24401
33aNPI1578520219assigned 04/27/2006
33bProvider typeOphthalmology Physician
28Total paid$5K
24GClaims410
24DCodes billed4
24AFirst – last monthMay 2019 – Dec 2023
Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#80 of 129
Median peer was paid$14K
This provider vs. median0.4×

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

$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
201920$289.23
202196$1K
2022145$2K
2023149$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 55% 335 260 $3K
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 28% 43 38 $1K
92002 11% 12 12 $574.18
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.6% 20 13 $289.23

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 officialSTATHOS, JOHN (OWNER)