Optical Reflections PLLC
Optical Reflections PLLC was paid $474K by Medicaid between Jan 2018 and Aug 2024, across 11 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 29% of everything it billed.
33Billing provider infoOPTICAL REFLECTIONS PLLC
WESLACO, TX 78596
WESLACO, TX 78596
33aNPI1386837904assigned 08/27/2007
33bProvider typeOptometrist
28Total paid$474K
24GClaims16,857
24DCodes billed11
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#91 of 1,408
Median peer was paid$30K
This provider vs. median16×
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 | 225 | $8K | |
| 2019 | 175 | $7K | |
| 2020 | 1,627 | $45K | |
| 2021 | 5,214 | $148K | |
| 2022 | 5,143 | $146K | |
| 2023 | 3,385 | $90K | |
| 2024incomplete | 1,088 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 29% | 3,227 | 3,181 | $138K |
| V2020 | Frames, purchases | 19% | 5,034 | 4,905 | $92K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 16% | 1,833 | 1,803 | $77K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 3,043 | 2,969 | $56K |
| V2025 | Deluxe frame | 9.5% | 757 | 749 | $45K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.5% | 2,262 | 2,169 | $45K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 151 | 149 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.7% | 352 | 340 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 28 | 25 | $1K |
| 92015 | Determination of refractive state | <1% | 136 | 130 | $402.92 |
| V2750 | Anti-reflective coating, per lens | <1% | 34 | 33 | $249.37 |
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 officialRIOS, ROLANDO (OPTOMETRIST)