Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Florence Ophthalmology LLC

Florence Ophthalmology LLC was paid $42K by Medicaid between Jan 2018 and Jan 2023, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.

33Billing provider infoFLORENCE OPHTHALMOLOGY LLC
FLORENCE, AL 35630
33aNPI1932314473assigned 05/10/2007
33bProvider typeOphthalmology Physician
28Total paid$42K
24GClaims16,059
24DCodes billed15
24AFirst – last monthJan 2018 – Jan 2023
Compared with peers

Next to other Ophthalmology Physician providers in Alabama

Rank by total paid#20 of 51
Median peer was paid$22K
This provider vs. median1.9×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
20184,533$16K
20196,364$21K
20202,561$3K
20212,512$339.00
202273$396.00
202316$126.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35% 259 238 $15K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 28% 479 451 $12K
92341 21% 732 669 $9K
92015 Determination of refractive state 7.8% 603 483 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7.5% 160 147 $3K
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 656 593 $0.00
1036F 0% 2,485 2,219 $0.00
3072F 0% 12 12 $0.00
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given 0% 15 14 $0.00
G8482 Influenza immunization administered or previously received 0% 883 786 $0.00
G8483 Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) 0% 739 674 $0.00
4040F 0% 3,076 2,738 $0.00
3 more codes
G8785 Blood pressure reading not documented, reason not given 0% 2,923 $0.00
2022F 0% 25 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 3,012 $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 officialGIRA, JOSEPH (CMO)
Same official

Other billing entities under GIRA, JOSEPH

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