DR. Luis S. Navarro, PLLC
DR. Luis S. Navarro, PLLC was paid $2.11M by Medicaid between Jun 2018 and Dec 2024, across 27 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 18% of everything it billed.
33Billing provider infoDR. LUIS S. NAVARRO, PLLC
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1104150564assigned 10/01/2009
33bProvider typeOptometrist
28Total paid$2.11M
24GClaims68,364
24DCodes billed27
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#12 of 1,408
Median peer was paid$30K
This provider vs. median69×
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 | 74 | $2K | |
| 2019 | 148 | $4K | |
| 2020 | 2,843 | $80K | |
| 2021 | 20,041 | $578K | |
| 2022 | 18,122 | $605K | |
| 2023 | 15,818 | $469K | |
| 2024incomplete | 11,318 | $369K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 18% | 6,580 | 6,072 | $381K |
| V2020 | Frames, purchases | 17% | 17,452 | 15,814 | $348K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 4,044 | 3,576 | $308K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 2,664 | 2,375 | $249K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.1% | 8,283 | 7,900 | $191K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 7.6% | 2,926 | 2,708 | $160K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.9% | 5,499 | 4,405 | $145K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.8% | 2,801 | 2,625 | $58K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.6% | 4,310 | 3,245 | $55K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.5% | 2,175 | 2,002 | $52K |
| 92015 | Determination of refractive state | 1.7% | 6,984 | 5,996 | $35K |
| 92133 | 1.3% | 898 | 810 | $28K |
15 more codes
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 786 | $19K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 735 | $17K |
| 92250 | <1% | 241 | $13K | |
| 92083 | <1% | 225 | $12K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 290 | $9K |
| V2744 | Tint, photochromatic, per lens | <1% | 363 | $7K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 176 | $6K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 206 | $5K |
| V2750 | Anti-reflective coating, per lens | <1% | 252 | $4K |
| 76514 | <1% | 233 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 76 | $2K |
| 92060 | <1% | 18 | $924.73 | |
| V2025 | Deluxe frame | <1% | 12 | $469.64 |
| 92145 | <1% | 120 | $12.50 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 15 | $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 officialNAVARRO, LUIS (OWNER)