Visionary Ophthalmology LLC
Visionary Ophthalmology LLC was paid $5.17M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 21% of everything it billed.
33Billing provider infoVISIONARY OPHTHALMOLOGY LLC
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
33aNPI1952595084assigned 08/31/2007
33bProvider typeSpecialist
28Total paid$5.17M
24GClaims113,128
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Maryland
Rank by total paid#6 of 218
Median peer was paid$88K
This provider vs. median59×
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 | 5,101 | $288K | |
| 2019 | 5,817 | $210K | |
| 2020 | 12,913 | $557K | |
| 2021 | 15,881 | $748K | |
| 2022 | 20,976 | $971K | |
| 2023 | 31,059 | $1.46M | |
| 2024incomplete | 21,381 | $938K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 21% | 13,035 | 12,292 | $1.08M |
| 92250 | 15% | 24,237 | 23,006 | $756K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 9,883 | 9,479 | $714K |
| 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 | 12% | 4,909 | 4,703 | $642K |
| 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% | 9,178 | 8,338 | $588K |
| 92015 | Determination of refractive state | 7.8% | 20,840 | 19,962 | $405K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.8% | 2,643 | 2,548 | $249K |
| 92083 | 2.4% | 3,919 | 3,681 | $123K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.2% | 3,109 | 2,714 | $114K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 918 | 913 | $94K |
| 92025 | 1.8% | 3,378 | 3,212 | $91K | |
| 92133 | 1.6% | 3,134 | 2,933 | $81K |
14 more codes
| V2020 | Frames, purchases | <1% | 2,383 | $42K |
| 76514 | <1% | 4,214 | $41K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 311 | $34K |
| 92134 | <1% | 1,590 | $33K | |
| 92285 | <1% | 846 | $21K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,080 | $20K |
| 92286 | <1% | 706 | $16K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,055 | $11K |
| 92002 | <1% | 152 | $6K | |
| 92020 | <1% | 130 | $3K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 155 | $3K |
| 92136 | <1% | 219 | $2K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 90 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 14 | $295.76 |
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 officialMARTINEZ, J.ALBERTO (OWNER/PROVIDER)