Santa Ynez Valley Vision Source INC
Santa Ynez Valley Vision Source INC was paid $5K by Medicaid between Jan 2018 and May 2018, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.
33Billing provider infoSANTA YNEZ VALLEY VISION SOURCE INC
SOLVANG, CA 93463
SOLVANG, CA 93463
33aNPI1124167903assigned 02/06/2007
33bProvider typeOptometrist
28Total paid$5K
24GClaims134
24DCodes billed4
24AFirst – last monthJan 2018 – May 2018
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,302 of 1,899
Median peer was paid$23K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2018 | 134 | $5K |
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 | 45% | 54 | 54 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 45 | 45 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 18 | 18 | $603.00 |
| V2020 | Frames, purchases | 6.9% | 17 | 17 | $362.27 |
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 officialBALES, DENNIS (PRESIDENT)