Blue Ridge Eye Care Associates PLLC
Blue Ridge Eye Care Associates PLLC was paid $1.22M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoBLUE RIDGE EYE CARE ASSOCIATES PLLC
GALAX, VA 24333
GALAX, VA 24333
33aNPI1649206814assigned 06/22/2006
33bProvider typeOptometrist
28Total paid$1.22M
24GClaims34,992
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#10 of 491
Median peer was paid$23K
This provider vs. median52×
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 | |
|---|---|---|---|
| 2018 | 3,194 | $100K | |
| 2019 | 5,932 | $186K | |
| 2020 | 2,906 | $93K | |
| 2021 | 5,086 | $165K | |
| 2022 | 5,788 | $213K | |
| 2023 | 6,728 | $244K | |
| 2024incomplete | 5,358 | $216K |
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 | 29% | 6,858 | 6,562 | $356K |
| V2020 | Frames, purchases | 17% | 5,306 | 5,264 | $205K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 2,278 | 2,217 | $134K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 2,386 | 2,309 | $128K |
| 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 | 7.4% | 1,406 | 1,318 | $90K |
| 92015 | Determination of refractive state | 6.8% | 9,451 | 8,820 | $83K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.3% | 1,681 | 1,508 | $77K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.9% | 1,727 | 1,704 | $47K |
| V2025 | Deluxe frame | 2.0% | 551 | 550 | $25K |
| 92250 | 1.6% | 865 | 751 | $20K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.3% | 1,396 | 1,394 | $15K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 549 | 374 | $15K |
7 more codes
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 302 | $14K |
| 68761 | <1% | 65 | $4K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | $1K |
| 92285 | <1% | 104 | $1K | |
| 92083 | <1% | 14 | $293.25 | |
| 92133 | <1% | 14 | $147.95 |
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 officialTUTTLE, BRIAN (PRACTICE ADMINISTRATOR)