Helton Vision Associates ,P.C.
Helton Vision Associates ,P.C. was paid $710K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoHELTON VISION ASSOCIATES ,P.C.
ATMORE, AL 36502
ATMORE, AL 36502
33aNPI1467504100assigned 01/16/2007
33bProvider typeOptometrist
28Total paid$710K
24GClaims28,702
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#28 of 346
Median peer was paid$59K
This provider vs. median12×
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 | 4,290 | $90K | |
| 2019 | 4,407 | $109K | |
| 2020 | 2,654 | $76K | |
| 2021 | 2,943 | $84K | |
| 2022 | 2,989 | $77K | |
| 2023 | 5,533 | $143K | |
| 2024incomplete | 5,886 | $132K |
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% | 3,833 | 3,724 | $205K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 2,367 | 2,275 | $193K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 6,700 | 6,491 | $115K |
| 92015 | Determination of refractive state | 7.4% | 6,284 | 6,103 | $53K |
| 92250 | 5.9% | 1,563 | 1,495 | $42K | |
| V2020 | Frames, purchases | 3.4% | 1,724 | 1,674 | $24K |
| V2750 | Anti-reflective coating, per lens | 3.3% | 313 | 310 | $24K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.2% | 969 | 946 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 290 | 272 | $10K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 1,712 | 1,658 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.1% | 165 | 164 | $8K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 159 | 157 | $4K |
11 more codes
| 92370 | <1% | 719 | $4K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 231 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $769.80 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 78 | $589.99 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 26 | $379.62 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | <1% | 313 | $0.01 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 421 | $0.00 |
| 2027F | 0% | 54 | $0.00 | |
| 1036F | 0% | 379 | $0.00 | |
| 3284F | 0% | 39 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 336 | $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 officialHELTON, DAVID (PRESIDENT)