THE EYE DOCTOR AT ST. ROSE LLC SOS Verified
2645 ST. ROSE PARKWAY SUITE C-110, HENDERSON, NV 89052
NPI Number
1558996546
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: The Eye Doctor at St. Rose LLC
Entity Number: E4846162020-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2020-02-17
Status Changed: 2020-02-17
Name Match: 95%
Registered Agent
Name: Nataly Gammoh
Type: Non-Commercial Registered Agent
Address: 556 N Eastern Ave, Suite A, Las Vegas, NV, 89101
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | Luis Flores | 556 N Eastern Ave, Suite A, Las Vegas, NV | Active |
| Mmember | Nataly Gammoh | 556 N Eastern Ave, Suite A, Las Vegas, NV | Active |
Total Medicaid Payments
$255,262
-32% vs specialty average
Patients Seen
5,028
Total Claims
5,034
$ Per Patient
$51
Specialty avg: $11
Specialty Rank
#5 of 13
Technician/Technologist, Optician providers in Nevada
Peer Average
$374,468
Average total for Technician/Technologist, Optician
Claims per Patient
1.0
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2021 | $539 | |
| 2022 | $23,892 | |
| 2023 | $124,985 | |
| 2024 | $105,846 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 1,885 | $152,634 | 59.8% | $81 |
| 92004 | Eye exam or vision test | 499 | $29,940 | 11.7% | $60 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 800 | $26,768 | 10.5% | $33 |
| 92340 | Eye exam or vision test | 667 | $20,327 | 8.0% | $30 |
| 92015 | Eye exam or vision test | 586 | $8,790 | 3.4% | $15 |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 135 | $8,640 | 3.4% | $64 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 388 | $4,511 | 1.8% | $12 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 36 | $2,021 | 0.8% | $56 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 25 | $850 | 0.3% | $34 |
| 92014 | Eye exam or vision test | 13 | $780 | 0.3% | $60 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.