Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vision One Optometry of West Covina, INC.

Vision One Optometry of West Covina, INC. was paid $26K by Medicaid between Jan 2018 and Oct 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.

33Billing provider infoVISION ONE OPTOMETRY OF WEST COVINA, INC.
WEST COVINA, CA 91791
33aNPI1467768267assigned 08/31/2010
33bProvider typeOptometrist
28Total paid$26K
24GClaims3,627
24DCodes billed5
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#905 of 1,899
Median peer was paid$23K
This provider vs. median1.2×

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

$0$1.0K$2.0K2018201920202021202220232024
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
YearClaimsPaid
2018422$7.21
2019556$86.52
2020359$3K
2021195$1K
2022684$5K
2023615$4K
2024incomplete796$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 29% 647 647 $8K
V2020 Frames, purchases 27% 802 802 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 392 392 $7K
92015 Determination of refractive state 16% 1,631 1,631 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 2.0% 155 155 $523.53

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 officialMARTINEZ, JESSIKA (PRESIDENT)