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John a Foley, JR., M.D., P.C.

John a Foley, JR., M.D., P.C. was paid $11K by Medicaid between Jan 2018 and May 2021, across 14 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 86% of everything it billed.

33Billing provider infoJOHN A FOLEY, JR., M.D., P.C.
EXMORE, VA 23350

33aNPI1932299492assigned 10/13/2006

33bProvider typeOptometrist

28Total paid$11K

24GClaims3,283

24DCodes billed14

24AFirst – last monthJan 2018 – May 2021

Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#295 of 491

Median peer was paid$23K

This provider vs. median0.5×

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	1,594	$3K
2019	1,438	$5K
2020	183	$1K
2021	68	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	86%	502	321	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	8.2%	52	30	$878.91
92250		5.9%	58	40	$636.11
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	498	339	$0.00
G8421	Bmi not documented and no reason is given	0%	677	460	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	587	390	$0.00
4040F		0%	25	12	$0.00
G8730	Pain assessment documented as positive using a standardized tool and a follow-up plan is documented	0%	38	27	$0.00
5010F		0%	17	12	$0.00
2027F		0%	23	12	$0.00
2022F		0%	16	13	$0.00
1036F		0%	554	371	$0.00

2 more codes

G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	216	$0.00
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	0%	20	$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 officialFOLEY, JOHN (PRESIDENT)

Same official

Other billing entities under FOLEY, JOHN

Full network →

Provider	Location	Paid
Toledo City School District	Toledo, OH	$5.17M
Foley Eye Clinic PA	St Paul, MN	$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.