Barrera, Enedelia
Barrera, Enedelia was paid $455K by Medicaid between Sep 2020 and Dec 2024, across 15 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 22% of everything it billed.
33Billing provider infoBARRERA, ENEDELIA
PHARR, TX 78577
PHARR, TX 78577
33aNPI1508941683assigned 10/26/2006
33bProvider typeOptometrist
28Total paid$455K
24GClaims15,687
24DCodes billed15
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#97 of 1,408
Median peer was paid$30K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2020 | 14 | $978.70 | |
| 2021 | 76 | $4K | |
| 2022 | 195 | $8K | |
| 2023 | 6,843 | $195K | |
| 2024incomplete | 8,559 | $247K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 22% | 1,468 | 1,442 | $101K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14% | 2,516 | 2,481 | $63K |
| V2025 | Deluxe frame | 12% | 1,479 | 1,476 | $56K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 2,625 | 2,594 | $53K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 11% | 1,181 | 1,178 | $51K |
| V2020 | Frames, purchases | 10% | 2,748 | 2,687 | $47K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 4.7% | 501 | 501 | $21K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 4.5% | 1,109 | 1,091 | $20K |
| 92015 | Determination of refractive state | 4.2% | 1,630 | 1,620 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.5% | 105 | 105 | $11K |
| 92002 | 1.7% | 107 | 106 | $8K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 117 | 116 | $2K |
3 more codes
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 47 | $813.48 |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 42 | $697.05 |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 12 | $368.08 |
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.