Buena Vista Eye Care PLLC
Buena Vista Eye Care PLLC was paid $1.10M by Medicaid between Feb 2018 and Dec 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.
33Billing provider infoBUENA VISTA EYE CARE PLLC
EL PASO, TX 79902
EL PASO, TX 79902
33aNPI1215254966assigned 04/20/2010
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$1.10M
24GClaims22,617
24DCodes billed13
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Texas
Rank by total paid#1 of 52
Median peer was paid$30K
This provider vs. median36×
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 | 59 | $2K | |
| 2019 | 96 | $5K | |
| 2020 | 1,399 | $61K | |
| 2021 | 6,873 | $361K | |
| 2022 | 5,319 | $259K | |
| 2023 | 5,386 | $265K | |
| 2024incomplete | 3,485 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 39% | 3,910 | 3,688 | $427K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 39% | 4,701 | 4,435 | $424K |
| 92015 | Determination of refractive state | 11% | 9,087 | 8,497 | $122K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.1% | 1,628 | 1,515 | $45K |
| V2020 | Frames, purchases | 1.8% | 1,199 | 1,106 | $20K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 313 | 292 | $17K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.4% | 1,124 | 1,047 | $16K |
| V2025 | Deluxe frame | 1.2% | 257 | 250 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 186 | 170 | $6K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 59 | 57 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 46 | 44 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 32 | 32 | $2K |
1 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 75 | $795.94 |
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 officialRAMIREZ, RUBEN (OWNER)