Physician
Neil M. Bealka Jr.,M.D. PA
Neil M. Bealka Jr.,M.D. PA was paid $217K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 56% of everything it billed.
33Billing provider infoNEIL M. BEALKA JR.,M.D. PA
GATESVILLE, TX 76528
GATESVILLE, TX 76528
33aNPI1144419672assigned 10/22/2007
33bProvider typeOphthalmology Physician
28Total paid$217K
24GClaims4,624
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#37 of 231
Median peer was paid$16K
This provider vs. median14×
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 | 28 | $971.57 | |
| 2019 | 24 | $539.76 | |
| 2020 | 416 | $19K | |
| 2021 | 1,406 | $72K | |
| 2022 | 837 | $39K | |
| 2023 | 1,155 | $58K | |
| 2024incomplete | 758 | $26K |
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 | 56% | 1,395 | 1,364 | $121K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 429 | 417 | $43K |
| 92015 | Determination of refractive state | 14% | 2,091 | 2,025 | $30K |
| V2025 | Deluxe frame | 3.8% | 192 | 182 | $8K |
| 92250 | 3.2% | 169 | 160 | $7K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.4% | 69 | 65 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 171 | 158 | $3K |
| V2020 | Frames, purchases | <1% | 92 | 82 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 16 | 14 | $174.05 |
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 officialROBLES, ALVIA (OFFICE MANAGER)