Nguyen, Ly

Nguyen, Ly was paid $45K by Medicaid between Jan 2019 and Oct 2022, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 68% of everything it billed.

33Billing provider infoNGUYEN, LY
ST CLOUD, FL 34769

33aNPI1942237193assigned 06/26/2006

33bProvider typeOphthalmology Physician

28Total paid$45K

24GClaims1,025

24DCodes billed8

24AFirst – last monthJan 2019 – Oct 2022

Compared with peers

Next to other Ophthalmology Physician providers in Florida

Rank by total paid#72 of 262

Median peer was paid$9K

This provider vs. median5.2×

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
2019	593	$31K
2020	73	$4K
2021	190	$9K
2022	169	$1K

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	68%	446	350	$30K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	14%	114	108	$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	11%	81	70	$5K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	5.0%	27	27	$2K
92250		2.0%	133	118	$894.59
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	12	12	$265.80
92015	Determination of refractive state	<1%	197	139	$26.00
V2020	Frames, purchases	0%	15	15	$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.