Physician
Virginia Adult and Pediatric Ophthalmology, PC
Virginia Adult and Pediatric Ophthalmology, PC was paid $434K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoVIRGINIA ADULT AND PEDIATRIC OPHTHALMOLOGY, PC
CENTREVILLE, VA 20121
CENTREVILLE, VA 20121
33aNPI1861733545assigned 03/06/2013
33bProvider typeOphthalmology Physician
28Total paid$434K
24GClaims11,101
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Virginia
Rank by total paid#13 of 129
Median peer was paid$14K
This provider vs. median31×
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 | 1,968 | $60K | |
| 2019 | 2,197 | $87K | |
| 2020 | 1,268 | $56K | |
| 2021 | 1,936 | $83K | |
| 2022 | 2,084 | $87K | |
| 2023 | 1,470 | $56K | |
| 2024incomplete | 178 | $5K |
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 | 32% | 1,585 | 1,373 | $138K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 1,712 | 1,483 | $116K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 1,433 | 1,165 | $47K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 9.0% | 946 | 740 | $39K |
| 92015 | Determination of refractive state | 8.2% | 2,552 | 2,265 | $36K |
| 92083 | 3.4% | 556 | 433 | $15K | |
| 92060 | 3.3% | 281 | 266 | $14K | |
| 92250 | 2.9% | 853 | 640 | $13K | |
| 92201 | 1.1% | 455 | 363 | $5K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.0% | 62 | 57 | $5K |
| 92133 | <1% | 229 | 191 | $4K | |
| 92226 | <1% | 275 | 86 | $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 officialCHONG, JOHN (PRESIDENT)