Hess, Lana
Hess, Lana was paid $91K by Medicaid between Apr 2021 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoHESS, LANA
GAINESVILLE, TX 76240
GAINESVILLE, TX 76240
33aNPI1265882450assigned 06/17/2016
33bProvider typeOptometrist
28Total paid$91K
24GClaims2,772
24DCodes billed12
24AFirst – last monthApr 2021 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#416 of 1,408
Median peer was paid$30K
This provider vs. median3.0×
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 | |
|---|---|---|---|
| 2021 | 122 | $2K | |
| 2022 | 780 | $31K | |
| 2023 | 1,161 | $36K | |
| 2024incomplete | 709 | $22K |
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 | 27% | 246 | 241 | $24K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 162 | 157 | $19K |
| 92015 | Determination of refractive state | 15% | 897 | 873 | $13K |
| V2020 | Frames, purchases | 14% | 784 | 769 | $13K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 9.7% | 212 | 211 | $9K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.2% | 109 | 105 | $4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.1% | 66 | 66 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.7% | 105 | 104 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.7% | 131 | 110 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.0% | 13 | 13 | $934.26 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 17 | 12 | $297.81 |
| 3072F | <1% | 30 | 29 | $290.00 |
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.