Optics Eyecare PLLC
Optics Eyecare PLLC was paid $282K by Medicaid between Aug 2020 and Dec 2024, across 16 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 30% of everything it billed.
33Billing provider infoOPTICS EYECARE PLLC
HOUSTON, TX 77035
HOUSTON, TX 77035
33aNPI1316365273assigned 03/28/2014
33bProvider typeOptometrist
28Total paid$282K
24GClaims10,167
24DCodes billed16
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#169 of 1,408
Median peer was paid$30K
This provider vs. median9.3×
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 | |
|---|---|---|---|
| 2020 | 407 | $10K | |
| 2021 | 3,178 | $84K | |
| 2022 | 2,820 | $78K | |
| 2023 | 1,694 | $51K | |
| 2024incomplete | 2,068 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 30% | 2,010 | 1,950 | $83K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 27% | 1,879 | 1,786 | $75K |
| V2025 | Deluxe frame | 17% | 1,685 | 1,637 | $47K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.8% | 1,068 | 1,036 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.2% | 459 | 405 | $12K |
| V2020 | Frames, purchases | 3.9% | 740 | 694 | $11K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | 3.7% | 638 | 615 | $10K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.5% | 859 | 821 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.6% | 239 | 222 | $4K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 196 | 189 | $3K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 145 | 137 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 26 | 24 | $2K |
4 more codes
| 92015 | Determination of refractive state | <1% | 150 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 42 | $658.31 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 15 | $542.88 |
| V2750 | Anti-reflective coating, per lens | <1% | 16 | $37.62 |
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 officialALI, ANITA (OPTOMETRIST)