Delafosse, Ginger
Delafosse, Ginger was paid $477K by Medicaid between Jan 2018 and Oct 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoDELAFOSSE, GINGER
VILLE PLATTE, LA 70586
VILLE PLATTE, LA 70586
33aNPI1871807263assigned 07/28/2010
33bProvider typeOptometrist
28Total paid$477K
24GClaims20,433
24DCodes billed16
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#117 of 442
Median peer was paid$199K
This provider vs. median2.4×
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 | 3,106 | $83K | |
| 2019 | 2,835 | $65K | |
| 2020 | 4,098 | $94K | |
| 2021 | 6,975 | $161K | |
| 2022 | 3,207 | $70K | |
| 2023 | 24 | $1K | |
| 2024incomplete | 188 | $4K |
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 | 36% | 2,535 | 2,350 | $171K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 1,414 | 1,306 | $117K |
| V2020 | Frames, purchases | 13% | 4,307 | 3,863 | $64K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 3,278 | 2,630 | $50K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 9.4% | 3,824 | 3,467 | $45K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.8% | 952 | 825 | $14K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.0% | 226 | 168 | $10K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 49 | 41 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 173 | 159 | $2K |
| V2781 | Progressive lens, per lens | <1% | 32 | 29 | $1K |
| 92250 | <1% | 56 | 41 | $1K | |
| V2799 | Vision item or service, miscellaneous | <1% | 55 | 55 | $747.62 |
4 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.