Heredia, Priscilla
Heredia, Priscilla was paid $187K by Medicaid between May 2021 and Dec 2024, across 8 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 35% of everything it billed.
33Billing provider infoHEREDIA, PRISCILLA
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1104208263assigned 06/25/2015
33bProvider typeOptometrist
28Total paid$187K
24GClaims4,216
24DCodes billed8
24AFirst – last monthMay 2021 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#241 of 1,408
Median peer was paid$30K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2021 | 396 | $0.00 | |
| 2023 | 2,469 | $122K | |
| 2024incomplete | 1,351 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 35% | 1,592 | 1,587 | $65K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 28% | 721 | 700 | $52K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 21% | 957 | 952 | $39K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 259 | 259 | $24K |
| 92015 | Determination of refractive state | 3.1% | 392 | 391 | $6K |
| 1036F | 0% | 100 | 100 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 95 | 95 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 100 | 100 | $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.