Balcones Eye Center, PA
Balcones Eye Center, PA was paid $18K by Medicaid between Feb 2018 and Aug 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 64% of everything it billed.
33Billing provider infoBALCONES EYE CENTER, PA
SAN MARCOS, TX 78666
SAN MARCOS, TX 78666
33aNPI1538270285assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$18K
24GClaims592
24DCodes billed5
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#824 of 1,408
Median peer was paid$30K
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 | |
|---|---|---|---|
| 2018 | 161 | $608.56 | |
| 2019 | 81 | $163.92 | |
| 2020 | 12 | $0.00 | |
| 2022 | 176 | $9K | |
| 2023 | 150 | $7K | |
| 2024incomplete | 12 | $179.08 |
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 | 64% | 101 | 98 | $11K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 78 | 78 | $3K |
| 92015 | Determination of refractive state | 17% | 212 | 205 | $3K |
| 1036F | 0% | 27 | 27 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 174 | 167 | $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 officialRAMIREZ, ASHLEY (ADMINISTRATOR)