Clinic
Lahaye Center for Advanced Eye Care, Apmc
Lahaye Center for Advanced Eye Care, Apmc was paid $242K by Medicaid between Jan 2018 and Oct 2024, across 30 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoLAHAYE CENTER FOR ADVANCED EYE CARE, APMC
OPELOUSAS, LA 70570
OPELOUSAS, LA 70570
33aNPI1083601298assigned 10/03/2005
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$242K
24GClaims21,578
24DCodes billed30
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Louisiana
Rank by total paid#26 of 58
Median peer was paid$142K
This provider vs. median1.7×
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.
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 | 5,433 | $70K | |
| 2019 | 4,990 | $60K | |
| 2020 | 2,593 | $41K | |
| 2021 | 3,319 | $30K | |
| 2022 | 3,101 | $31K | |
| 2023 | 1,912 | $7K | |
| 2024incomplete | 230 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 4,486 | 3,893 | $83K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 32% | 816 | 575 | $78K |
| 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 | 12% | 2,588 | 2,060 | $29K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 10% | 1,139 | 874 | $25K |
| 92250 | 4.5% | 1,292 | 1,063 | $11K | |
| 00142 | 1.8% | 284 | 224 | $4K | |
| 92133 | 1.1% | 571 | 503 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 331 | 270 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 30 | 26 | $2K |
| V2020 | Frames, purchases | <1% | 110 | 105 | $2K |
| 92083 | <1% | 100 | 80 | $704.67 | |
| 92002 | <1% | 15 | 13 | $459.30 |
18 more codes
| 92015 | Determination of refractive state | <1% | 2,697 | $427.41 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 21 | $424.65 |
| 99152 | <1% | 301 | $377.35 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | $334.40 |
| 92136 | <1% | 61 | $73.48 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 261 | $29.39 |
| 92134 | <1% | 22 | $19.93 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 35 | $0.00 |
| 1036F | 0% | 2,629 | $0.00 | |
| 4177F | 0% | 376 | $0.00 | |
| 3284F | 0% | 91 | $0.00 | |
| 3072F | 0% | 57 | $0.00 | |
| 2019F | 0% | 43 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,689 | $0.00 |
| G8918 | Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis | 0% | 184 | $0.00 |
| G8907 | Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility | 0% | 200 | $0.00 |
| 2027F | 0% | 98 | $0.00 | |
| 5010F | 0% | 39 | $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 officialLAHAYE, LEON (PRESIDENT/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Lahaye Center for Advanced Eye Care of Lafayette, INC. | Lafayette, LA | $187K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.