Flores, Guadalupe
Flores, Guadalupe was paid $421K by Medicaid between Oct 2020 and Dec 2023, across 12 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 49% of everything it billed.
33Billing provider infoFLORES, GUADALUPE
EDINBURG, TX 78539
EDINBURG, TX 78539
33aNPI1528056124assigned 10/10/2005
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$421K
24GClaims13,769
24DCodes billed12
24AFirst – last monthOct 2020 – Dec 2023
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Texas
Rank by total paid#6 of 52
Median peer was paid$30K
This provider vs. median14×
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 | 561 | $18K | |
| 2021 | 3,539 | $107K | |
| 2022 | 4,395 | $135K | |
| 2023 | 5,274 | $160K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 49% | 3,580 | 2,178 | $207K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 1,529 | 1,465 | $66K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 1,811 | 1,094 | $57K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.7% | 646 | 627 | $37K |
| V2020 | Frames, purchases | 5.3% | 3,268 | 2,043 | $22K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.0% | 436 | 269 | $13K |
| 92250 | 2.3% | 192 | 186 | $10K | |
| 92015 | Determination of refractive state | 2.2% | 2,135 | 2,058 | $9K |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | <1% | 22 | 15 | $880.00 |
| V2750 | Anti-reflective coating, per lens | <1% | 56 | 27 | $22.00 |
| V2025 | Deluxe frame | 0% | 51 | 36 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 43 | 28 | $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.