Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Elgin Vision PLLC

Elgin Vision PLLC was paid $23K by Medicaid between Nov 2020 and Aug 2024, across 10 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 40% of everything it billed.

33Billing provider infoELGIN VISION PLLC
ELGIN, TX 78621
33aNPI1467826057assigned 11/19/2015
33bProvider typeOptometrist
28Total paid$23K
24GClaims1,215
24DCodes billed10
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#761 of 1,408
Median peer was paid$30K
This provider vs. median0.8×

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$2.0K$4.0K2018201920202021202220232024
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
202094$2K
2021515$8K
2022490$11K
202363$1K
2024incomplete53$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 40% 446 422 $9K
V2020 Frames, purchases 25% 369 355 $6K
S0620 Routine ophthalmological examination including refraction; new patient 17% 101 98 $4K
92015 Determination of refractive state 5.2% 189 179 $1K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.4% 15 15 $1K
S0621 Routine ophthalmological examination including refraction; established patient 2.8% 15 15 $656.25
V2025 Deluxe frame 2.6% 15 15 $606.60
92060 2.0% 15 15 $456.85
92250 1.7% 31 28 $390.14
92340 Fitting of spectacles, except for aphakia; monofocal 0% 19 19 $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 officialRUTKOWSKI, CLAYTON (AUTHORIZED OFFICIAL)
Same official

Other billing entities under RUTKOWSKI, CLAYTON

Full network →
ProviderLocationPaid
Belton Eye Care CenterBelton, TX$137K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.