Southern Sky Vision Center

Southern Sky Vision Center was paid $556K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is V2025, Deluxe frame — 25% of everything it billed.

33Billing provider infoSOUTHERN SKY VISION CENTER
TEXARKANA, TX 75503

33aNPI1306194519assigned 08/17/2012

33bProvider typeClinic/Center

28Total paid$556K

24GClaims14,770

24DCodes billed15

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Texas

Rank by total paid#39 of 176

Median peer was paid$26K

This provider vs. median21×

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	464	$13K
2019	483	$14K
2020	1,539	$63K
2021	5,192	$211K
2022	4,542	$160K
2023	1,841	$67K
2024incomplete	709	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2025	Deluxe frame	25%	2,402	2,388	$137K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	1,404	1,390	$112K
S0621	Routine ophthalmological examination including refraction; established patient	17%	2,169	2,138	$92K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	9.5%	2,638	2,594	$53K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	8.2%	487	479	$46K
S0620	Routine ophthalmological examination including refraction; new patient	7.2%	941	932	$40K
92015	Determination of refractive state	6.6%	2,564	2,534	$37K
V2020	Frames, purchases	4.9%	1,738	1,705	$27K
92340	Fitting of spectacles, except for aphakia; monofocal	1.4%	259	259	$8K
92250		<1%	43	42	$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%	32	27	$1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	39	39	$689.08

3 more codes

V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	12	$674.88
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	30	$618.17
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	12	$614.16

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 officialGALDAMEZ, JUAN (OPTOMETRIST/OWNER)