West Virginia Eye Consultants, LLC
West Virginia Eye Consultants, LLC was paid $2.47M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.
33Billing provider infoWEST VIRGINIA EYE CONSULTANTS, LLC
CHARLESTON, WV 25301
CHARLESTON, WV 25301
33aNPI1801171517assigned 10/13/2011
33bProvider typeOptometrist
28Total paid$2.47M
24GClaims49,205
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#1 of 115
Median peer was paid$82K
This provider vs. median30×
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 | 3,820 | $201K | |
| 2019 | 3,157 | $145K | |
| 2020 | 4,435 | $254K | |
| 2021 | 5,859 | $272K | |
| 2022 | 10,092 | $490K | |
| 2023 | 11,257 | $557K | |
| 2024incomplete | 10,585 | $548K |
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 | 21% | 6,849 | 6,485 | $508K |
| V2020 | Frames, purchases | 16% | 6,030 | 5,858 | $397K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 4,060 | 3,833 | $351K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 12% | 1,776 | 1,176 | $306K |
| 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 | 5.7% | 2,067 | 1,794 | $141K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 3,834 | 3,430 | $139K |
| 92015 | Determination of refractive state | 5.0% | 7,540 | 7,332 | $123K |
| 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 | 4.7% | 1,374 | 1,201 | $115K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.2% | 2,000 | 1,687 | $105K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.4% | 2,301 | 2,232 | $58K |
| 92250 | 1.7% | 2,186 | 1,954 | $41K | |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | 1.7% | 715 | 706 | $41K |
21 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.5% | 554 | $37K |
| 92136 | <1% | 1,465 | $24K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,337 | $18K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 696 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 440 | $14K |
| 92083 | <1% | 244 | $8K | |
| 92133 | <1% | 329 | $7K | |
| 1036F | <1% | 723 | $6K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 186 | $6K |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 436 | $2K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 42 | $1K |
| G8785 | Blood pressure reading not documented, reason not given | <1% | 744 | $1K |
| 92134 | <1% | 40 | $839.04 | |
| 2023F | <1% | 65 | $0.01 | |
| 2022F | 0% | 14 | $0.00 | |
| M1221 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy | 0% | 27 | $0.00 |
| 2025F | 0% | 12 | $0.00 | |
| G8421 | Bmi not documented and no reason is given | 0% | 18 | $0.00 |
| 2024F | 0% | 16 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 59 | $0.00 |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 26 | $0.00 |
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 officialSINCLAIR, JOSEPH (MD/PART OWNER)
| Provider | Location | Paid |
|---|---|---|
| Beckley Surgery Center, INC | Beckley, WV | $550K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.