Dulles Optometry, LLC
Dulles Optometry, LLC was paid $18K by Medicaid between Aug 2023 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 70% of everything it billed.
33Billing provider infoDULLES OPTOMETRY, LLC
STERLING, VA 20166
STERLING, VA 20166
33aNPI1699956136assigned 11/26/2007
33bProvider typeOptometrist
28Total paid$18K
24GClaims485
24DCodes billed7
24AFirst – last monthAug 2023 – Nov 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#264 of 491
Median peer was paid$23K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2023 | 12 | $667.00 | |
| 2024incomplete | 473 | $18K |
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 | 70% | 228 | 214 | $13K |
| V2020 | Frames, purchases | 16% | 55 | 53 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.6% | 15 | 13 | $847.50 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.9% | 17 | 16 | $529.54 |
| 92015 | Determination of refractive state | 2.3% | 128 | 125 | $421.74 |
| V2025 | Deluxe frame | 2.0% | 16 | 15 | $375.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 26 | 26 | $344.90 |
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 officialCASSELLA, FRANK (OPTOMETRIST)