Supplier
My Own Optical LLC
My Own Optical LLC was paid $43K by Medicaid between Oct 2022 and Dec 2024, across 7 billing codes. Its largest line is V2025, Deluxe frame — 50% of everything it billed.
33Billing provider infoMY OWN OPTICAL LLC
SAN ANTONIO, TX 78221
SAN ANTONIO, TX 78221
33aNPI1528728995assigned 12/27/2021
33bProvider typeEyewear Supplier
28Total paid$43K
24GClaims2,941
24DCodes billed7
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Texas
Rank by total paid#58 of 100
Median peer was paid$68K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 252 | $3K | |
| 2023 | 1,460 | $22K | |
| 2024incomplete | 1,229 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 50% | 603 | 602 | $22K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 21% | 465 | 461 | $9K |
| V2020 | Frames, purchases | 8.8% | 166 | 165 | $4K |
| V2755 | U-v lens, per lens | 8.4% | 832 | 826 | $4K |
| V2760 | Scratch resistant coating, per lens | 8.4% | 804 | 798 | $4K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.0% | 42 | 41 | $847.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.3% | 29 | 29 | $546.59 |
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 officialPANTOJA, FIDEL (OWNER)