Garcia-Balok, Vanessa
Garcia-Balok, Vanessa was paid $129K by Medicaid between Jan 2018 and Nov 2021, across 9 billing codes. Its largest line is V2025, Deluxe frame — 27% of everything it billed.
33Billing provider infoGARCIA-BALOK, VANESSA
ATHENS, TX 75751
ATHENS, TX 75751
33aNPI1336491679assigned 10/10/2012
33bProvider typeOptometrist
28Total paid$129K
24GClaims5,715
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#332 of 1,408
Median peer was paid$30K
This provider vs. median4.3×
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 | |
|---|---|---|---|
| 2018 | 446 | $8K | |
| 2019 | 879 | $8K | |
| 2020 | 2,288 | $59K | |
| 2021 | 2,102 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 27% | 728 | 726 | $35K |
| V2020 | Frames, purchases | 20% | 963 | 910 | $26K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 568 | 541 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 1,390 | 1,373 | $21K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 659 | 612 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.6% | 106 | 104 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 704 | 652 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 584 | 580 | $164.50 |
| V2750 | Anti-reflective coating, per lens | 0% | 13 | 12 | $0.00 |
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.