Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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RGV Vision Care LLC

RGV Vision Care LLC was paid $578K by Medicaid between Dec 2020 and Aug 2024, across 17 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 28% of everything it billed.

33Billing provider infoRGV VISION CARE LLC
WESLACO, TX 78596
33aNPI1154813129assigned 06/05/2018
33bProvider typeOptometrist
28Total paid$578K
24GClaims31,294
24DCodes billed17
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#70 of 1,408
Median peer was paid$30K
This provider vs. median19×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020138$3K
20217,471$155K
202212,741$235K
20237,983$131K
2024incomplete2,961$53K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 28% 4,085 3,945 $164K
V2020 Frames, purchases 16% 6,762 6,255 $91K
S0620 Routine ophthalmological examination including refraction; new patient 15% 2,192 2,124 $89K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15% 4,675 4,398 $88K
V2025 Deluxe frame 8.5% 5,780 5,336 $49K
V2784 Lens, polycarbonate or equal, any index, per lens 5.3% 3,024 2,731 $31K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 3.9% 1,440 1,298 $22K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 3.7% 469 426 $21K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.9% 683 656 $11K
V2750 Anti-reflective coating, per lens <1% 213 201 $3K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens <1% 68 65 $2K
V2744 Tint, photochromatic, per lens <1% 93 79 $2K
5 more codes
V2745 Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens <1% 525 $1K
92015 Determination of refractive state <1% 1,001 $1K
92002 <1% 17 $821.76
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 49 $787.50
V2755 U-v lens, per lens <1% 218 $757.09

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 officialRODERIGUEZ, JAIME (OWNER)