Vista Vision LLC

Vista Vision LLC was paid $15K by Medicaid between Jan 2018 and Oct 2019, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 65% of everything it billed.

33Billing provider infoVISTA VISION LLC
BENTON, LA 71006

33aNPI1558718205assigned 05/23/2016

33bProvider typeEyewear Supplier

28Total paid$15K

24GClaims507

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Eyewear Supplier providers in Louisiana

Rank by total paid#32 of 37

Median peer was paid$178K

This provider vs. median0.1×

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	377	$9K
2019	130	$6K

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	65%	161	95	$10K
V2020	Frames, purchases	20%	238	159	$3K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	9.0%	32	16	$1K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3.9%	36	18	$582.15
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	1.4%	40	20	$207.48

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 officialJORGENSEN, LENY (OWNER/OPTICIAN)