Guillen Eyecare PLLC
Guillen Eyecare PLLC was paid $150K by Medicaid between Jan 2018 and Oct 2024, across 15 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 20% of everything it billed.
33Billing provider infoGUILLEN EYECARE PLLC
DONNA, TX 78537
DONNA, TX 78537
33aNPI1457625717assigned 03/05/2012
33bProvider typeOptometrist
28Total paid$150K
24GClaims4,599
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#296 of 1,408
Median peer was paid$30K
This provider vs. median5.0×
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 | 95 | $2K | |
| 2019 | 368 | $2K | |
| 2020 | 86 | $1K | |
| 2021 | 209 | $4K | |
| 2022 | 202 | $4K | |
| 2023 | 2,151 | $81K | |
| 2024incomplete | 1,488 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 20% | 558 | 546 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 326 | 316 | $27K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 18% | 859 | 836 | $26K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 267 | 260 | $26K |
| V2020 | Frames, purchases | 17% | 1,085 | 1,055 | $26K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.3% | 175 | 149 | $5K |
| 92015 | Determination of refractive state | 2.9% | 893 | 868 | $4K |
| 92250 | 2.1% | 65 | 63 | $3K | |
| 92060 | <1% | 24 | 23 | $1K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 18 | 16 | $878.24 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | 14 | $380.74 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $375.20 |
3 more codes
| G8732 | No documentation of pain assessment, reason not given | 0% | 136 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 149 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 18 | $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.
From NPPES
Who's on the registration
Authorized officialGUILLEN, CHRISTOPHER (OPTOMETRIST)