Optique Eye Care, PLLC
Optique Eye Care, PLLC was paid $108K by Medicaid between Dec 2020 and Aug 2024, across 11 billing codes. Its largest line is V2025, Deluxe frame — 24% of everything it billed.
33Billing provider infoOPTIQUE EYE CARE, PLLC
SELMA, TX 78154
SELMA, TX 78154
33aNPI1730567330assigned 05/14/2015
33bProvider typeOptometrist
28Total paid$108K
24GClaims4,047
24DCodes billed11
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#369 of 1,408
Median peer was paid$30K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2020 | 99 | $3K | |
| 2021 | 1,464 | $37K | |
| 2022 | 1,674 | $44K | |
| 2023 | 661 | $19K | |
| 2024incomplete | 149 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 24% | 456 | 450 | $26K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 307 | 306 | $20K |
| V2020 | Frames, purchases | 16% | 764 | 734 | $17K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 753 | 738 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 9.4% | 673 | 655 | $10K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 9.0% | 213 | 210 | $10K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.4% | 118 | 116 | $9K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.0% | 71 | 70 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 48 | 46 | $666.33 |
| 92015 | Determination of refractive state | <1% | 631 | 623 | $219.30 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 13 | 12 | $158.35 |
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 officialKIKUCHI, KENTARO (OPTOMETRIST)