Virginia Pediatric Ophthalmology Specialists, LLC
Virginia Pediatric Ophthalmology Specialists, LLC was paid $2.06M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.
33Billing provider infoVIRGINIA PEDIATRIC OPHTHALMOLOGY SPECIALISTS, LLC
RICHMOND, VA 23235
RICHMOND, VA 23235
33aNPI1780961086assigned 11/15/2011
33bProvider typeSpecialist
28Total paid$2.06M
24GClaims30,249
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Virginia
Rank by total paid#12 of 231
Median peer was paid$47K
This provider vs. median44×
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 | 2,386 | $121K | |
| 2019 | 3,144 | $175K | |
| 2020 | 2,809 | $205K | |
| 2021 | 4,727 | $314K | |
| 2022 | 5,205 | $373K | |
| 2023 | 6,096 | $460K | |
| 2024incomplete | 5,882 | $415K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 47% | 12,076 | 11,042 | $975K |
| 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% | 4,911 | 4,511 | $538K |
| 92060 | 10% | 4,223 | 3,958 | $212K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.9% | 2,521 | 2,291 | $142K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.5% | 1,307 | 1,195 | $94K |
| 92201 | 2.1% | 2,588 | 1,635 | $43K | |
| 92226 | <1% | 1,448 | 462 | $20K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | <1% | 357 | 187 | $19K |
| 99223 | Prolong inpt eval add15 m | <1% | 93 | 74 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 245 | 242 | $6K |
| V2020 | Frames, purchases | <1% | 246 | 242 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 207 | 204 | $1K |
1 more codes
| 92225 | <1% | 27 | $435.20 |
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 officialWORTHAM, EDWIN (OWNER)