Mcguire, John
Mcguire, John was paid $10K by Medicaid between Sep 2020 and Oct 2021, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 63% of everything it billed.
33Billing provider infoMCGUIRE, JOHN
LOCUST GROVE, VA 22508
LOCUST GROVE, VA 22508
33aNPI1972580017assigned 12/29/2005
33bProvider typeOptometrist
28Total paid$10K
24GClaims585
24DCodes billed5
24AFirst – last monthSep 2020 – Oct 2021
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#297 of 491
Median peer was paid$23K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2020 | 48 | $949.41 | |
| 2021 | 537 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 63% | 162 | 162 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21% | 97 | 97 | $2K |
| V2020 | Frames, purchases | 12% | 59 | 59 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.8% | 83 | 83 | $487.88 |
| 92015 | Determination of refractive state | 0% | 184 | 184 | $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.