Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

VIRGINIA EYE CONSULTANTS INC

NPI: 1992727820 · NORFOLK, VA 23502 · Optometrist · NPI assigned 07/23/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more

$8.26M
Total Medicaid Paid
89,675
Total Claims
75,823
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGIRA, JOSEPH (CHIEF MEDICAL OFFICER)
NPI Enumeration Date07/23/2006

Related Entities

Other providers sharing the same authorized official: GIRA, JOSEPH

ProviderCityStateTotal Paid
NATIONWIDE VISION CENTER, LLC MESA AZ $42.44M
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC LEXINGTON KY $13.25M
BLUE SKY VISION EYE CARE, P.C GRAND RAPIDS MI $9.34M
EYE CENTERS OF LOUISVILLE,PSC LOUISVILLE KY $7.49M
GRENE VISION GROUP LLC WICHITA KS $6.29M
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $3.10M
MCPEAK VISION PARTNERS PLLC GLASGOW KY $2.58M
STEVEN A. KUHL OD, LLC WICHITA KS $2.36M
VIRGINIA SURGERY CENTER, LLC NORFOLK VA $1.22M
JOHN KENYON AMERICAN EYE INSTITUTE LLC NEW ALBANY IN $904K
JOHN KENYON AMERICAN EYE INSTITUTE LLC ELIZABETHTOWN KY $866K
TUSCALOOSA OPHTHALMOLOGY, INC. TUSCALOOSA AL $690K
MONMOUTH RETINA CONSULTANTS, P.A. LITTLE SILVER NJ $476K
EYE ASSOCIATES OF OKLAHOMA PLLC OKLAHOMA CITY OK $197K
THE OPHTHALMOLOGY GROUP, LLC PADUCAH KY $143K
EMILIO MARTIN JUSTO MD PC SUN CITY AZ $131K
REYNOLDS & ANLIKER EYE PHYSICIANS & SURGEONS LLC EMPORIA KS $92K
SHORELINE OPHTHALMOLOGY, PLLC MUSKEGON MI $73K
FLORENCE OPHTHALMOLOGY LLC FLORENCE AL $42K
FRISCO EYE ASSOCIATES FRISCO TX $24K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 4,171 $76K
2019 9,496 $357K
2020 8,412 $401K
2021 12,528 $1.09M
2022 14,496 $1.50M
2023 21,314 $2.45M
2024 19,258 $2.39M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0178 Injection, aflibercept, 1 mg 3,549 2,821 $4.58M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,473 12,651 $748K
67028 Intravitreal injection of a pharmacologic agent 12,423 9,975 $719K
J9035 Injection, bevacizumab, 10 mg 6,084 4,690 $355K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7,264 6,112 $345K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,095 8,060 $338K
92134 16,094 13,865 $335K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 801 589 $183K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3,592 2,938 $119K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,323 1,178 $101K
92083 2,702 2,430 $87K
92133 3,262 2,944 $70K
67210 195 144 $54K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 635 584 $52K
92136 1,746 1,463 $43K
92250 1,935 1,773 $41K
68761 807 375 $36K
92020 1,043 901 $14K
92015 Determination of refractive state 1,054 937 $10K
92025 360 325 $9K
00142 216 144 $5K
92235 99 89 $5K
92285 294 262 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 24 24 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 77 68 $2K
76514 185 165 $1K
92002 13 13 $819.05
92201 42 37 $627.54
92060 16 14 $535.26
92202 28 27 $227.67
1036F 102 94 $50.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 13 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 103 95 $0.00
2022F 13 12 $0.00
5010F 13 12 $0.00