Kilgore-Gilmer Eye Care Centers P.A.
Kilgore-Gilmer Eye Care Centers P.A. was paid $50K by Medicaid between Jul 2018 and Jan 2022, across 6 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 32% of everything it billed.
33Billing provider infoKILGORE-GILMER EYE CARE CENTERS P.A.
KILGORE, TX 75662
KILGORE, TX 75662
33aNPI1184655649assigned 07/05/2006
33bProvider typeOptometrist
28Total paid$50K
24GClaims1,855
24DCodes billed6
24AFirst – last monthJul 2018 – Jan 2022
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#575 of 1,408
Median peer was paid$30K
This provider vs. median1.6×
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 | 12 | $186.00 | |
| 2019 | 12 | $362.55 | |
| 2020 | 375 | $11K | |
| 2021 | 1,356 | $37K | |
| 2022 | 100 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 32% | 396 | 389 | $16K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 30% | 366 | 352 | $15K |
| V2020 | Frames, purchases | 20% | 633 | 602 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 323 | 309 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.9% | 125 | 124 | $3K |
| 92015 | Determination of refractive state | <1% | 12 | 12 | $186.00 |
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 officialROBERTS, JERRY (OWNER)