Insight Eye Care, PLLC
Insight Eye Care, PLLC was paid $260K by Medicaid between Mar 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.
33Billing provider infoINSIGHT EYE CARE, PLLC
KILGORE, TX 75662
KILGORE, TX 75662
33aNPI1336387810assigned 01/22/2009
33bProvider typeOptometrist
28Total paid$260K
24GClaims6,635
24DCodes billed11
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#180 of 1,408
Median peer was paid$30K
This provider vs. median8.6×
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 | 49 | $2K | |
| 2019 | 12 | $31.78 | |
| 2020 | 433 | $15K | |
| 2021 | 2,320 | $98K | |
| 2022 | 2,279 | $77K | |
| 2023 | 1,005 | $45K | |
| 2024incomplete | 537 | $23K |
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 | 50% | 1,739 | 1,675 | $129K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 342 | 336 | $32K |
| 92015 | Determination of refractive state | 9.0% | 2,044 | 1,961 | $23K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.8% | 904 | 863 | $18K |
| V2025 | Deluxe frame | 5.4% | 230 | 223 | $14K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.8% | 236 | 214 | $12K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 4.2% | 274 | 258 | $11K |
| V2020 | Frames, purchases | 4.0% | 634 | 613 | $11K |
| V2750 | Anti-reflective coating, per lens | 2.2% | 106 | 106 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.1% | 101 | 101 | $3K |
| 92250 | <1% | 25 | 24 | $1K |
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 officialPINKERTON, JEFFERY (OWNER)