Gailmard Eye Center LLC
Gailmard Eye Center LLC was paid $192K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.
33Billing provider infoGAILMARD EYE CENTER LLC
MUNSTER, IN 46321
MUNSTER, IN 46321
33aNPI1982746293assigned 02/13/2007
33bProvider typeOptometrist
28Total paid$192K
24GClaims4,785
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#197 of 743
Median peer was paid$22K
This provider vs. median8.8×
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 | 376 | $6K | |
| 2019 | 774 | $33K | |
| 2020 | 392 | $15K | |
| 2021 | 966 | $50K | |
| 2022 | 897 | $34K | |
| 2023 | 891 | $31K | |
| 2024incomplete | 489 | $24K |
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 | 37% | 858 | 760 | $71K |
| V2020 | Frames, purchases | 26% | 1,267 | 1,091 | $51K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 369 | 338 | $38K |
| 92015 | Determination of refractive state | 13% | 1,914 | 1,702 | $25K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.5% | 196 | 183 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 135 | 118 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 31 | 17 | $719.36 |
| V2702 | Deluxe lens feature | 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.
From NPPES
Who's on the registration
Authorized officialGAILMARD, NEIL (AUTHORIZED OFFICIAL/OWNER)