Gaila J Austin Od PC
Gaila J Austin Od PC was paid $89K by Medicaid between Jan 2018 and Feb 2023, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 93% of everything it billed.
33Billing provider infoGAILA J AUSTIN OD PC
LAMAR, CO 81052
LAMAR, CO 81052
33aNPI1710151600assigned 04/22/2008
33bProvider typeOptometrist
28Total paid$89K
24GClaims2,093
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#182 of 425
Median peer was paid$49K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2018 | 481 | $24K | |
| 2019 | 551 | $25K | |
| 2020 | 246 | $9K | |
| 2021 | 429 | $17K | |
| 2022 | 341 | $12K | |
| 2023 | 45 | $1K |
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 | 93% | 793 | 749 | $83K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.7% | 56 | 55 | $5K |
| 92015 | Determination of refractive state | 1.3% | 1,244 | 1,169 | $1K |
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 officialAUSTIN, GAILA (OPTOMETRIST)