Physician
Albemarle Pediatric Ophthalmology & Strabismus PC
Albemarle Pediatric Ophthalmology & Strabismus PC was paid $932K by Medicaid between May 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoALBEMARLE PEDIATRIC OPHTHALMOLOGY & STRABISMUS PC
CHARLOTTESVILLE, VA 22902
CHARLOTTESVILLE, VA 22902
33aNPI1750456745assigned 11/22/2006
33bProvider typeOphthalmology Physician
28Total paid$932K
24GClaims16,181
24DCodes billed7
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Virginia
Rank by total paid#10 of 129
Median peer was paid$14K
This provider vs. median67×
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 | 432 | $18K | |
| 2019 | 3,072 | $168K | |
| 2020 | 2,466 | $141K | |
| 2021 | 3,116 | $182K | |
| 2022 | 2,846 | $168K | |
| 2023 | 2,496 | $139K | |
| 2024incomplete | 1,753 | $115K |
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 | 33% | 3,338 | 3,019 | $308K |
| 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 | 26% | 2,246 | 2,130 | $246K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 17% | 2,269 | 2,144 | $157K |
| 92060 | 14% | 2,521 | 2,384 | $131K | |
| 92015 | Determination of refractive state | 9.3% | 5,746 | 5,391 | $87K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 18 | 18 | $2K |
| 92201 | <1% | 43 | 27 | $692.80 |
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 officialMARTIN, GALE (OFFICE ADMINISTRATOR)