BELLA VISTA EYE CARE, PLLC
NPI: 1427267038
· PHARR, TX 78577
· 152W00000X
$307K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
30 |
$2K |
| 2020 |
660 |
$21K |
| 2021 |
3,560 |
$121K |
| 2022 |
3,234 |
$111K |
| 2023 |
1,172 |
$39K |
| 2024 |
382 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological exa |
2,085 |
2,074 |
$89K |
| V2025 |
Eyeglasses delux frames |
1,010 |
1,004 |
$55K |
| S0620 |
Routine ophthalmological exa |
1,213 |
1,210 |
$52K |
| V2020 |
Vision svcs frames purchases |
1,842 |
1,820 |
$34K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,677 |
1,655 |
$34K |
| 92014 |
|
268 |
258 |
$19K |
| V2784 |
Lens polycarb or equal |
638 |
636 |
$17K |
| V2104 |
Spherocylindr 4.00d/2.12-4d |
184 |
184 |
$4K |
| V2100 |
Lens spher single plano 4.00 |
121 |
119 |
$2K |