JILDA EDEAN LONG, OD
NPI 1568405884, individual, Roanoke, VA, Optometrist
National provider registry
From the CMS NPPES Registry, refreshed daily.
| Name | JILDA EDEAN LONG, OD (also JILDA BARKSDALE) |
| Type | Individual, sole proprietor |
| Status | Active |
| NPI issued | June 14, 2006, last updated August 2, 2019 |
| Practice location | 22 CAMPBELL AVE SE, Roanoke, VA 24011, 540-982-7890 |
| Mailing address | 4251 TWIN MOUNTAIN DR, Vinton, VA 24179-1021 |
| Specialties | Optometrist (152W00000X, primary, license 0618001106 VA) |
Procedures billed
The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.
| code | what it is | paid | share | per patient-month | typical | rank among providers | |
|---|---|---|---|---|---|---|---|
| 92004 | New patient complete exam of visual system | $143K | 17% | $35 | $64 (top 5% from $129) | 19th percentile | |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | $140K | 17% | $11 | $21 (top 5% from $84) | 24th percentile | |
| 92014 | Established patient complete exam of visual system | $128K | 16% | $74 | $51 (top 5% from $107) | 76th percentile | |
| 92012 | Established patient problem focused exam of visual system | $118K | 14% | $48 | $39 (top 5% from $88) | 66th percentile | |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | $101K | 12% | $15 | $30 (top 5% from $134) | 25th percentile | |
| 92015 | Medicaid service code | $90K | 11% | $8.04 | $10 (top 5% from $30) | 40th percentile | |
| V2203 | Medicaid service code | $47K | 6% | $47 | $36 (top 5% from $83) | 67th percentile | |
| V2020 | Medicaid service code | $39K | 5% | $32 | $20 (top 5% from $60) | 75th percentile |
| code | what it is | services | beneficiaries | paid | submitted per service | allowed per service | charge to allowed | usual for this code |
|---|---|---|---|---|---|---|---|---|
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 846 | 839 | $90K | $226 | $148 | 1.5x | 2.0x (90th percentile 3.4x) |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,219 | 992 | $88K | $158 | $103 | 1.5x | 2.0x (90th percentile 3.3x) |
| 92004 | New patient complete exam of visual system | 544 | 544 | $58K | $225 | $144 | 1.6x | 1.4x (90th percentile 2.7x) |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more | 598 | 532 | $34K | $114 | $72 | 1.6x | 2.0x (90th percentile 3.4x) |
| 92014 | Established patient complete exam of visual system | 55 | 50 | $5K | $178 | $122 | 1.5x | 1.4x (90th percentile 2.7x) |
| 92012 | Established patient problem focused exam of visual system | 56 | 37 | $4K | $121 | $86 | 1.4x | 1.6x (90th percentile 2.9x) |
| 99350 | Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | 11 | 11 | $1K | $223 | $178 | 1.3x | 1.9x (90th percentile 3.3x) |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 16 | 12 | $1K | $157 | $122 | 1.3x | 2.0x (90th percentile 3.4x) |
A submitted charge many times the allowed amount is common and lawful; it matters when it is far above what other providers submit for the same code.
In this area
2 providers in Roanoke city County, VA carry an indicator in the public record, with $0 at stake between them. The most common is part of a provider network, on 2 of them.
| tier | provider | at stake | why |
|---|---|---|---|
| 3 | ROANOKE REHAB AND HEALTHCARE CENTER LLC Roanoke, VA, ranked 2203 | $0 |
|
| 3 | OLD SOUTHWEST HEALTH AND REHABILITATION LLC Roanoke, VA, ranked 5732 | $0 |
|
Recent enforcement in VA
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Referral packet
The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.