Eye Care Institute, PA
Eye Care Institute, PA was paid $14K by Medicaid between May 2018 and Nov 2024, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 31% of everything it billed.
33Billing provider infoEYE CARE INSTITUTE, PA
HARKER HEIGHTS, TX 76548
HARKER HEIGHTS, TX 76548
33aNPI1629187232assigned 08/29/2006
33bProvider typeOptometrist
28Total paid$14K
24GClaims515
24DCodes billed6
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#866 of 1,408
Median peer was paid$30K
This provider vs. median0.5×
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 | 14 | $109.02 | |
| 2019 | 13 | $446.81 | |
| 2021 | 55 | $2K | |
| 2023 | 156 | $3K | |
| 2024incomplete | 277 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 204 | 178 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 20% | 50 | 47 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 20% | 82 | 71 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 64 | 62 | $2K |
| 92015 | Determination of refractive state | 8.4% | 97 | 95 | $1K |
| 92250 | 5.5% | 18 | 17 | $754.92 |
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 officialESTERS, JOHN (OWNER PHYSICIAN)