Gayton Health Centre, PC
Gayton Health Centre, PC was paid $222K by Medicaid between Jan 2018 and Jul 2024, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoGAYTON HEALTH CENTRE, PC
WARNER ROBINS, GA 31088
WARNER ROBINS, GA 31088
33aNPI1801860796assigned 02/15/2006
33bProvider typeOptometrist
28Total paid$222K
24GClaims9,130
24DCodes billed15
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Georgia
Rank by total paid#11 of 71
Median peer was paid$10K
This provider vs. median21×
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 | 895 | $20K | |
| 2019 | 1,333 | $22K | |
| 2020 | 740 | $23K | |
| 2021 | 1,634 | $38K | |
| 2022 | 2,893 | $75K | |
| 2023 | 1,580 | $42K | |
| 2024incomplete | 55 | $2K |
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 | 40% | 1,831 | 1,698 | $89K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 15% | 218 | 173 | $34K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 740 | 690 | $24K |
| 92015 | Determination of refractive state | 9.5% | 3,487 | 3,346 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.0% | 708 | 641 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.9% | 752 | 726 | $11K |
| 92250 | 3.0% | 304 | 282 | $7K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.6% | 363 | 328 | $6K |
| 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 | 2.4% | 263 | 250 | $5K |
| 92136 | 2.1% | 199 | 181 | $5K | |
| 92002 | 1.2% | 84 | 83 | $3K | |
| 92133 | 1.0% | 99 | 94 | $2K |
3 more codes
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 officialSTONE, ALISHA (CREDENTIALING SPECIALIST)