Priscilla R Heredia Od PLLC
Priscilla R Heredia Od PLLC was paid $63K by Medicaid between Sep 2021 and Nov 2024, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 39% of everything it billed.
33Billing provider infoPRISCILLA R HEREDIA OD PLLC
EAGLE PASS, TX 78852
EAGLE PASS, TX 78852
33aNPI1346831146assigned 02/03/2021
33bProvider typeOptometrist
28Total paid$63K
24GClaims2,022
24DCodes billed7
24AFirst – last monthSep 2021 – Nov 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#510 of 1,408
Median peer was paid$30K
This provider vs. median2.1×
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 | 128 | $770.77 | |
| 2022 | 701 | $20K | |
| 2023 | 672 | $21K | |
| 2024incomplete | 521 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 39% | 848 | 795 | $24K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 469 | 445 | $20K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 13% | 255 | 236 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.4% | 48 | 47 | $4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 5.4% | 84 | 84 | $3K |
| 92015 | Determination of refractive state | 4.8% | 306 | 285 | $3K |
| 92133 | <1% | 12 | 12 | $100.17 |
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 officialHEREDIA, PRISCILLA (CEO)