El Valle Optical, LLC
El Valle Optical, LLC was paid $234K by Medicaid between Jan 2019 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoEL VALLE OPTICAL, LLC
DETROIT, MI 48209
DETROIT, MI 48209
33aNPI1457914335assigned 04/17/2019
33bProvider typeOphthalmic Technician/Technologist
28Total paid$234K
24GClaims7,767
24DCodes billed8
24AFirst – last monthJan 2019 – Dec 2024
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 | |
|---|---|---|---|
| 2019 | 770 | $23K | |
| 2020 | 1,436 | $41K | |
| 2021 | 1,292 | $38K | |
| 2022 | 1,481 | $42K | |
| 2023 | 1,509 | $48K | |
| 2024incomplete | 1,279 | $42K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 1,191 | 1,187 | $67K |
| V2020 | Frames, purchases | 25% | 2,205 | 2,182 | $59K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 15% | 738 | 736 | $36K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.0% | 2,093 | 2,049 | $21K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 8.3% | 357 | 357 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.6% | 886 | 882 | $18K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.0% | 285 | 285 | $14K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 12 | 12 | $275.30 |
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 officialMOTA, LETICIA (OWNER - OPTICIAN)