Total Care PLLC
Total Care PLLC was paid $7.68M by Medicaid between Feb 2021 and Dec 2024, across 44 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 21% of everything it billed.
33Billing provider infoTOTAL CARE PLLC
EL PASO, TX 79936
EL PASO, TX 79936
33aNPI1487285656assigned 01/28/2020
33bProvider typeOptometrist
28Total paid$7.68M
24GClaims147,447
24DCodes billed44
24AFirst – last monthFeb 2021 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#1 of 1,408
Median peer was paid$30K
This provider vs. median253×
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 | |
|---|---|---|---|
| 2021 | 10,323 | $424K | |
| 2022 | 40,484 | $2.06M | |
| 2023 | 48,578 | $2.63M | |
| 2024incomplete | 48,062 | $2.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 13,147 | 12,595 | $1.61M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 12,804 | 12,158 | $1.30M |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.6% | 8,156 | 7,619 | $582K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 7.5% | 3,334 | 3,289 | $576K |
| 92060 | 7.4% | 10,807 | 10,414 | $570K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 6.4% | 2,823 | 2,649 | $491K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 5.5% | 2,958 | 2,895 | $422K |
| 92015 | Determination of refractive state | 4.9% | 27,631 | 26,389 | $378K |
| 99243 | 3.4% | 2,536 | 2,518 | $258K | |
| V2025 | Deluxe frame | 2.7% | 5,412 | 5,265 | $209K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.1% | 8,161 | 7,918 | $161K |
| 92285 | 1.9% | 9,443 | 8,829 | $145K |
32 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.9% | 2,084 | $145K |
| 93320 | 1.5% | 2,825 | $114K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.3% | 6,104 | $98K |
| V2020 | Frames, purchases | <1% | 2,632 | $68K |
| 93325 | <1% | 3,237 | $59K | |
| 92133 | <1% | 1,636 | $58K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,136 | $55K |
| 92250 | <1% | 875 | $51K | |
| 93000 | <1% | 3,954 | $51K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 846 | $46K |
| 92201 | <1% | 2,265 | $38K | |
| V2750 | Anti-reflective coating, per lens | <1% | 1,920 | $25K |
| V2799 | Vision item or service, miscellaneous | <1% | 2,107 | $24K |
| 76825 | <1% | 101 | $20K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 632 | $19K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,513 | $18K |
| 99254 | <1% | 119 | $16K | |
| 92083 | <1% | 235 | $13K | |
| 92202 | <1% | 1,085 | $12K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 902 | $11K |
| 92134 | <1% | 223 | $8K | |
| 93227 | <1% | 451 | $8K | |
| 76827 | <1% | 101 | $6K | |
| 93225 | <1% | 358 | $6K | |
| V2744 | Tint, photochromatic, per lens | <1% | 210 | $5K |
| 92002 | <1% | 50 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 14 | $2K |
| 76514 | <1% | 193 | $2K | |
| 93272 | <1% | 62 | $1K | |
| 99072 | <1% | 1,333 | $2.25 | |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 0% | 390 | $0.00 |
| T1013 | Sign language or oral interpretive services, per 15 minutes | 0% | 642 | $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 officialKUMAR, VIBHASH (OWNER)