Attachment T – Vision Top Providers for Disruption Analysis.xlsx

XLSX spreadsheet 17 KB Posted

Attached to
RFP 26-025-CJ GCPS- Employee Medical, Stop Loss, Dental, Vision, Disability & Voluntary Benefits Coverage
Solicitation number
RFP-115259
Issued by
Frederick County, Virginia

About this file

This file is a Vision Top Providers for Disruption Analysis in spreadsheet format, listing utilized eye care providers and their network status across multiple vision insurance plans. The document contains a comprehensive provider listing that indicates whether each listed optometrist or ophthalmologist is in-network or out-of-network for the Insight, Access, Select PLUS, and the Offeror's plan. The spreadsheet includes provider details such as National Provider Identifier (NPI), first and last names, professional designations (OD or MD), facility names, and complete addresses spanning Virginia, North Carolina, South Carolina, and Ohio. The utilized provider listing spans multiple locations, with providers categorized by facility address, city, state, and zip code, and includes columns for network status across four different vision plans.

The analysis also identifies top providers segmented into three distinct categories: overall top providers, top retail providers, and top independent providers, ranked by total claim count. Eastern Eye Associates in Hayes, Virginia emerges as the highest-utilized independent provider with 250 total claims, followed by Dr. Peter E. Wilcox OD PLC with 54 claims and Dr. Kent B. McQuain OD with 47 claims. Among retail providers, Americas Best and LensCrafters locations dominate the claim volume, with the Williamsburg and Newport News locations recording 46, 42, and 42 claims respectively. The data reflects current utilization patterns and network participation status, providing visibility into provider disruption potential and network composition across the vision insurance plans reviewed.

View the file

Other files

File Type Posted
Addendum 1.pdf PDF
external extract for gloucester co.xlsx XLSX spreadsheet
Attachment M – Long Term Disability Claims History.xlsx XLSX spreadsheet
Attachment 2A. HCCs Sept 2023 - Oct 2024-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260318 03_32 PM.xlsx XLSX spreadsheet
Attachment 3 Retiree Dental GCPS Addendum Question.xlsx XLSX spreadsheet
Addendum 3 FINAL.pdf PDF
Attachment O – Medical Claim Repricing File for Discount and Disruption Analysis.xlsx XLSX spreadsheet
Attachment 2B. HCCs Oct 2024 - Sept 2025-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260318 03_31 PM.xlsx XLSX spreadsheet
Addendum 1.pdf PDF
Attachment V - Hybrid STD Benefit Summary.pdf PDF
external extract for gloucester co.xlsx XLSX spreadsheet
Attachment L – Disability Benefits.pdf PDF
Attachment S – Dental Network Utilization for Disruption Analysis .xlsx XLSX spreadsheet
Gloucester County Repricing Summary 02032026 file.xlsx XLSX spreadsheet
Addendum 2.pdf PDF
Attachment 2C. HCCs Oct 2025 - Feb 2026-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260318 03_29 PM.xlsx XLSX spreadsheet
Attachment D – Current census and enrollment for all lines of coverage (including COBRA and Retirees).xlsx XLSX spreadsheet
Attachment J – Dental Claims and enrollment history.xlsx XLSX spreadsheet
Attachment 2. HCCS over 50k Feb 2024 - Jan 2025-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_HCC-01_20260317 03_43 PM.pdf PDF
Attachment H – Vision Benefits.pdf PDF
Attachment B - Price Proposal.xlsx XLSX spreadsheet
Attachment R – Current and Historical Rates - All Lines.pdf PDF
Attachment W - Hybrid LTD Benefit Summary.pdf PDF
Attachment Q – Pharmacy Questionnaire.docx DOCX document
1B Member and claims oct 2025- Feb 2026.xlsx XLSX spreadsheet
Attachment 1. Mem and Claims Oct 2023 - Sept 2024-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_FIN-01_20260317 03_29 PM (2).xlsx XLSX spreadsheet
Attachment K – Vision Claims and enrollment history.pdf PDF
Attachment U - Supplemental Plan Claims Utilization.pdf PDF
Attachment 1A. Mem and Claims Oct 2024 - Sept 2025-GLOUCESTER COUNTY SCHOOL BOARD(Total Account)_FIN-01_20260317 03_28 PM.xlsx XLSX spreadsheet
Attachment P – Pharmacy Claim Repricing & Disruption Analysis - DELETE YELLOW ONCE APPROVED.xlsx XLSX spreadsheet
Gloucester County Repricing Cover Letter 02032026.docx DOCX document
Attachment N – Accident, Critical Illness, Hospital Benefits.pdf PDF
Attachment I – Medical Claims, Enrollment, HCCs.xlsx XLSX spreadsheet
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Text version

Utilized Provider Listing

Directions: Please indicate if the provider listed is in or out of network for your plan in column N
NPIFirst NameLast NameProfessional DesignationFacilityAddressCityStateZipInsightAccessSelectPLUSOfferor in or out of network
1093209942AnneBraimODEASTERN EYE ASSOCIATES3449 GEORGE WASHINGTON HWYHAYESVA23072YYYN
1265435283PeterWilcoxODDR PETER E WILCOX OD PLC2652 GEORGE WASHINGTON HWYHAYESVA23072YYYN
1437294832KentMcquainODDR KENT B MCQUAIN OD5220 GEORGE WASHINGTON HWYYORKTOWNVA23692YYYN
1215258157Not AssignedOPTAMERICAS BEST800 E ROCHAMBEAU DRWILLIAMSBURGVA23188YYYN
1013267830AlpaShahODAMERICAS BEST12551 JEFFERSON AVENUENEWPORT NEWSVA23602YYYN
1427021682HienNguyenODEYEMAX INC6651 MAIN STGLOUCESTERVA23061YYYN
1831244953Not AssignedOPTLENSCRAFTERS PATRICK HENRY MALL12300 JEFFERSON AVENEWPORT NEWSVA23602YYYY
1386650042BrentSegeleonODCOLONIAL EYE CARE PLC5273 JOHN TYLER HWYWILLIAMSBURGVA23185YYYN
1831244953Not AssignedOPTTARGET OPTICAL4630 MONTICELLO AVEWILLIAMSBURGVA23188YYYY
1083798391LaureenWaldronODTARGET OPTICAL4630 MONTICELLO AVEWilliamsburgVA23188YYYY
1093209942AnneBraimODEASTERN EYE ASSOCIATES1322 JAMESTOWN RDWilliamsburgVA23185YYYN
1235116807RobertElginMDHAMPTON ROADS EYE ASSOCIATES11800 ROCK LANDING DRNEWPORT NEWSVA23606YYYN
1831634393RishiPatelODMYEYEDR6515 GEORGE WASHINGTON MEM HWYYorktownVA23692YYYN
1801100813RichardNicholasODNICHOLAS & MELAND FAM EYECARE1 COLISEUM CROSSINGHAMPTONVA23666YYYY
1497744791DianeWallachODSELDEN OPTOMETRY209 GRANBY STNORFOLKVA23510YYYY
1083798391LaureenWaldronODWALDRON EYECARE230 MONTICELLO AVEWilliamsburgVA23185YYYY
1245594407DavidBuckODPENINSULA EYE CARE LLC1215 GEORGE WASHINGTON MEM HWYYORKTOWNVA23693YYYN
1073651279TonyaLongODLENSCRAFTERS PATRICK HENRY MALL12300 JEFFERSON AVENEWPORT NEWSVA23602YYYY
1760830772CatherineBattonODTARGET OPTICAL12130 JEFFERSON AVENEWPORT NEWSVA23602YYYY
1164904819LizanettePaulinoODMYEYEDR4655-201 MONTICELLO AVEWilliamsburgVA23188YYYN
1831244953Not AssignedOPTTARGET OPTICAL12130 JEFFERSON AVENEWPORT NEWSVA23602YYYY
1164904819LizanettePaulinoODMYEYEDR422 ORIANA RDNewport NewsVA23608YYYN
1831244953Not AssignedOPTTARGET OPTICAL ECOMM4000 LUXOTTICA PLMASONOH45040YYYY
1588841233AndrewAmbroseODFINPAX LLC11847 ASPENGRAF LNNew KentVA23124YYYN
1568195576RushviDesaiODEYE CENTER OF VIRGINIA101 TEWNING RDWILLIAMSBURGVA23188YYYN
1427021682HienNguyenODEYEMAX FAMILY EYECARE606 DENBIGH BLVDNEWPORT NEWSVA23608YYYN
1114365129DerekEvansODHAMPTON ROADS EYE ASSOCIATES120 KINGS WAYWILLIAMSBURGVA23185YYYN
1144216730DebraBashkoffODJAMES RIVER EYE PHYSICIANS PC704 THIMBLE SHOALS BLVDNEWPORT NEWSVA23606YYYN
1831244953Not AssignedOPTCONTACTS DIRECT4000 LUXOTTICA PLACEMASONOH45040YYYY
1952367195NadiaShockleyMDHAMPTON ROADS EYE ASSOCIATES12420 WARWICK BLVDNEWPORT NEWSVA23606YYYN
1114467172BomeeKimODAMERICAS BEST12551 JEFFERSON AVENEWPORT NEWSVA23602YYYN
1245856970EmilyBennettODHANOVER FAMILY EYE CARE7347 BELL CREEK RDMECHANICSVILLEVA23111YYYY
1831244953Not AssignedOPTPEARLE VISION NAVY STATION NORFOLK1560 MALL DRNORFOLKVA23511YYYY
1164074761RoxanneChalifouxODHAMPTON ROADS EYE ASSOC850 ENTERPRISE PKWYHAMPTONVA23666YYYN
1831244953Not AssignedOPTLENSCRAFTERS4700 KILGORE AVEHamptonVA23666YYYY
1295387629JeromicaWardODMYEYEDR1870 RESERVOIR STHarrisonburgVA22801YYYN
1508941709FadeeBittarODSEEN FAMILY EYECARE19 HIDENWOOD SHPG CTRNewport NewsVA23606YYYN
1376677666JohnBickertonODGLOUCESTER VISION CARE7449 HARGETT BLVDGloucesterVA23061YYYN
1376677666JohnBickertonODWEST POINT VISION CARE3180 KING WILLIAM AVEWest PointVA23181YYYN
1831244953Not AssignedOPTLENSCRAFTERS WILLOW LAWN SHOPPING CTR1601 WILLOW LAWNRichmondVA23230YYYY
1831634393RishiPatelODMYEYEDR2028 S PLEASANT VALLEY RDWinchesterVA22601YYYN
1215258157Not AssignedOPTAMERICAS BEST115 COLISEUM XINGHamptonVA23666YYYN
1033517776Not AssignedOPTEYEMART EXPRESS1137 WOODRUFF RDGREENVILLESC29607YYYN
1720182819Not AssignedOPTWALMART VISION CENTER12401 Jefferson AveNewport NewsVA23602NNNN
1881390847NatalieTerryberryODEYECARE CENTER5569 N CROATAN HWYSouthern ShoresNC27949YYYN
1972726636JonathanEllisMDMY EYELAB #715612101 JEFFERSON AVENEWPORT NEWSVA23602YYYN
1730757105NicoleMihalkoODPATTERSON EYE CLINIC5419 PATTERSON AVERICHMONDVA23226YYYN
1134655046KELSEYBUTLERODLENSCRAFTERS4700 KILGORE AVEHamptonVA23666YYYY
1588841233AndrewAmbroseODNEW KENT EYE CARE11847 ASPENGRAF LNNEW KENTVA23124
1114419371RuhPatelODEYEMART EXPRESS1137 WOODRUFF RDGREENVILLESC29607YYYN
1245016336SineadEckODDR ERIC J OBERDORF7200 CREEDMOOR RDRALEIGHNC27613YYYY
1588657837KianKazMDEYE PHYSICIAN AND SURGEON12690 MCMANUS BLVDNEWPORT NEWSVA23602YYYN
1770582108ElinaBlahaODSAMS CLUB VISION CENTER12407 JEFFERSON AVENewport NewsVA23602NNNN
1124593728RobertGalbanODLENSCRAFTERS WILLOW LAWN SHOPPING CTR1601 WILLOW LAWNRICHMONDVA23230YYYY

Top Providers

Top Providers
Top Providers
FacilityAddressCityStateZipTotal Claim Count
EASTERN EYE ASSOCIATES3449 GEORGE WASHINGTON HWYHAYESVA23072250
DR PETER E WILCOX OD PLC2652 GEORGE WASHINGTON HWYHAYESVA2307254
DR KENT B MCQUAIN OD5220 GEORGE WASHINGTON HWYYORKTOWNVA2369247
AMERICAS BEST800 E ROCHAMBEAU DRWILLIAMSBURGVA2318846
AMERICAS BEST12551 JEFFERSON AVENUENEWPORT NEWSVA2360242
LENSCRAFTERS PATRICK HENRY MALL12300 JEFFERSON AVENEWPORT NEWSVA2360242
EYEMAX INC6651 MAIN STGLOUCESTERVA2306135
COLONIAL EYE CARE PLC5273 JOHN TYLER HWYWILLIAMSBURGVA2318523
TARGET OPTICAL4630 MONTICELLO AVEWILLIAMSBURGVA2318822
TARGET OPTICAL4630 MONTICELLO AVEWilliamsburgVA2318821
Top Retail Providers
FacilityAddressCityStateZipTotal Claim Count
AMERICAS BEST800 E ROCHAMBEAU DRWILLIAMSBURGVA2318846
AMERICAS BEST12551 JEFFERSON AVENUENEWPORT NEWSVA2360242
LENSCRAFTERS PATRICK HENRY MALL12300 JEFFERSON AVENEWPORT NEWSVA2360242
TARGET OPTICAL4630 MONTICELLO AVEWILLIAMSBURGVA2318822
TARGET OPTICAL4630 MONTICELLO AVEWilliamsburgVA2318821
TARGET OPTICAL12130 JEFFERSON AVENEWPORT NEWSVA2360215
MYEYEDR6515 GEORGE WASHINGTON MEM HWYYorktownVA2369212
MYEYEDR4655-201 MONTICELLO AVEWilliamsburgVA231887
MYEYEDR422 ORIANA RDNewport NewsVA236086
TARGET OPTICAL ECOMM4000 LUXOTTICA PLMASONOH450406
Top Independent Providers
FacilityAddressCityStateZipTotal Claim Count
EASTERN EYE ASSOCIATES3449 GEORGE WASHINGTON HWYHAYESVA23072250
DR PETER E WILCOX OD PLC2652 GEORGE WASHINGTON HWYHAYESVA2307254
DR KENT B MCQUAIN OD5220 GEORGE WASHINGTON HWYYORKTOWNVA2369247
EYEMAX INC6651 MAIN STGLOUCESTERVA2306135
COLONIAL EYE CARE PLC5273 JOHN TYLER HWYWILLIAMSBURGVA2318523
EASTERN EYE ASSOCIATES1322 JAMESTOWN RDWilliamsburgVA2318520
HAMPTON ROADS EYE ASSOCIATES11800 ROCK LANDING DRNEWPORT NEWSVA2360618
NICHOLAS & MELAND FAM EYECARE1 COLISEUM CROSSINGHAMPTONVA2366611
SELDEN OPTOMETRY209 GRANBY STNORFOLKVA2351011
WALDRON EYECARE230 MONTICELLO AVEWilliamsburgVA2318510

File details come from the government source that posted it. Updated .