Looks, PA
Looks, PA was paid $8.55M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoLOOKS, PA
LAS CRUCES, NM 88005
LAS CRUCES, NM 88005
33aNPI1700995941assigned 08/30/2006
33bProvider typeOptometrist
28Total paid$8.55M
24GClaims218,896
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New Mexico
Rank by total paid#3 of 122
Median peer was paid$112K
This provider vs. median77×
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 | 30,175 | $1.14M | |
| 2019 | 36,098 | $1.11M | |
| 2020 | 27,693 | $874K | |
| 2021 | 35,662 | $1.18M | |
| 2022 | 29,050 | $1.14M | |
| 2023 | 31,040 | $1.40M | |
| 2024incomplete | 29,178 | $1.70M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 30,941 | 30,122 | $2.66M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 19,809 | 19,522 | $1.95M |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.9% | 20,905 | 20,675 | $764K |
| V2020 | Frames, purchases | 8.1% | 30,380 | 29,980 | $692K |
| 92250 | 7.7% | 11,256 | 11,087 | $662K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.1% | 22,715 | 22,441 | $348K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.9% | 16,691 | 15,447 | $337K |
| 92133 | 3.4% | 8,321 | 8,184 | $288K | |
| 92015 | Determination of refractive state | 1.9% | 33,669 | 33,033 | $165K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.9% | 7,667 | 7,617 | $162K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.2% | 4,263 | 4,001 | $103K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.0% | 1,412 | 1,242 | $89K |
22 more codes
| 92083 | <1% | 1,546 | $69K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 1,175 | $62K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 1,433 | $56K |
| 76514 | <1% | 2,463 | $26K | |
| 92134 | <1% | 1,005 | $24K | |
| 92341 | <1% | 446 | $17K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 175 | $17K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 382 | $13K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 65 | $8K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 453 | $8K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 301 | $8K |
| 92285 | <1% | 776 | $8K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 49 | $5K |
| 68761 | <1% | 23 | $2K | |
| 83861 | <1% | 69 | $2K | |
| 92283 | <1% | 27 | $815.12 | |
| 92002 | <1% | 12 | $691.26 | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 33 | $539.76 |
| V2299 | Specialty bifocal (by report) | <1% | 12 | $452.40 |
| V2744 | Tint, photochromatic, per lens | <1% | 154 | $240.00 |
| V2781 | Progressive lens, per lens | 0% | 12 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 256 | $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 officialCARMONA, MONICA (BILLER)