Advanced Optometric Concepts, PC
Advanced Optometric Concepts, PC was paid $159K by Medicaid between Jan 2018 and Apr 2023, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoADVANCED OPTOMETRIC CONCEPTS, PC
BERNALILLO, NM 87004
BERNALILLO, NM 87004
33aNPI1578736054assigned 04/07/2008
33bProvider typeOptometrist
28Total paid$159K
24GClaims4,344
24DCodes billed10
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Optometrist providers in New Mexico
Rank by total paid#53 of 122
Median peer was paid$112K
This provider vs. median1.4×
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 | 2,301 | $78K | |
| 2019 | 1,383 | $45K | |
| 2020 | 452 | $16K | |
| 2021 | 180 | $16K | |
| 2023 | 28 | $4K |
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 | 33% | 622 | 616 | $52K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 612 | 610 | $43K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 601 | 593 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.8% | 222 | 192 | $12K |
| V2020 | Frames, purchases | 7.7% | 655 | 649 | $12K |
| 92015 | Determination of refractive state | 4.4% | 1,113 | 1,102 | $7K |
| 92250 | 2.5% | 60 | 60 | $4K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 195 | 195 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.2% | 174 | 171 | $2K |
| 83861 | 1.1% | 90 | 43 | $2K |
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 officialCASAUS, DEIDRA (PRESIDENT)