Vista Eye Specialists PC

Vista Eye Specialists PC was paid $28K by Medicaid between Mar 2019 and Mar 2022, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 53% of everything it billed.

33Billing provider infoVISTA EYE SPECIALISTS PC
LOCUST GROVE, VA 22508

33aNPI1649408253assigned 06/23/2009

33bProvider typeOphthalmology Physician

28Total paid$28K

24GClaims505

24DCodes billed7

24AFirst – last monthMar 2019 – Mar 2022

Compared with peers

Next to other Ophthalmology Physician providers in Virginia

Rank by total paid#54 of 129

Median peer was paid$14K

This provider vs. median2.0×

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
2019	111	$6K
2020	199	$10K
2021	147	$10K
2022	48	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	53%	172	160	$15K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	21%	73	59	$6K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	13%	65	53	$3K
92015	Determination of refractive state	5.4%	104	103	$1K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.6%	16	14	$994.56
92136		3.1%	36	14	$854.31
99072		<1%	39	32	$220.00

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 officialJANI, BINOY (PRESIDENT)