Virginia Eye Consultants INC
Virginia Eye Consultants INC was paid $8.26M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 55% of everything it billed.
33Billing provider infoVIRGINIA EYE CONSULTANTS INC
NORFOLK, VA 23502
NORFOLK, VA 23502
33aNPI1992727820assigned 07/23/2006
33bProvider typeOptometrist
28Total paid$8.26M
24GClaims89,675
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#3 of 491
Median peer was paid$23K
This provider vs. median354×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more
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 | 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 | |
| 2024incomplete | 19,258 | $2.39M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 55% | 3,549 | 2,821 | $4.58M |
| 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 | 9.1% | 14,473 | 12,651 | $748K |
| 67028 | Intravitreal injection of a pharmacologic agent | 8.7% | 12,423 | 9,975 | $719K |
| J9035 | Injection, bevacizumab, 10 mg | 4.3% | 6,084 | 4,690 | $355K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.2% | 7,264 | 6,112 | $345K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.1% | 9,095 | 8,060 | $338K |
| 92134 | 4.1% | 16,094 | 13,865 | $335K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.2% | 801 | 589 | $183K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.4% | 3,592 | 2,938 | $119K |
| 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 | 1.2% | 1,323 | 1,178 | $101K |
| 92083 | 1.1% | 2,702 | 2,430 | $87K | |
| 92133 | <1% | 3,262 | 2,944 | $70K |
23 more codes
| 67210 | <1% | 195 | $54K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 635 | $52K |
| 92136 | <1% | 1,746 | $43K | |
| 92250 | <1% | 1,935 | $41K | |
| 68761 | <1% | 807 | $36K | |
| 92020 | <1% | 1,043 | $14K | |
| 92015 | Determination of refractive state | <1% | 1,054 | $10K |
| 92025 | <1% | 360 | $9K | |
| 00142 | <1% | 216 | $5K | |
| 92235 | <1% | 99 | $5K | |
| 92285 | <1% | 294 | $4K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 24 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 77 | $2K |
| 76514 | <1% | 185 | $1K | |
| 92002 | <1% | 13 | $819.05 | |
| 92201 | <1% | 42 | $627.54 | |
| 92060 | <1% | 16 | $535.26 | |
| 92202 | <1% | 28 | $227.67 | |
| 1036F | <1% | 102 | $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 | 0% | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 103 | $0.00 |
| 2022F | 0% | 13 | $0.00 | |
| 5010F | 0% | 13 | $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 officialGIRA, JOSEPH (CHIEF MEDICAL OFFICER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.