Berkeley Eye Institute, PLLC
Berkeley Eye Institute, PLLC was paid $1.31M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 25% of everything it billed.
33Billing provider infoBERKELEY EYE INSTITUTE, PLLC
HOUSTON, TX 77027
HOUSTON, TX 77027
33aNPI1740286186assigned 06/21/2005
33bProvider typeOptometrist
28Total paid$1.31M
24GClaims43,377
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#24 of 1,408
Median peer was paid$30K
This provider vs. median43×
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 | 29 | $580.87 | |
| 2019 | 26 | $846.30 | |
| 2020 | 1,711 | $49K | |
| 2021 | 10,293 | $310K | |
| 2022 | 10,652 | $304K | |
| 2023 | 10,806 | $332K | |
| 2024incomplete | 9,860 | $314K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 25% | 10,751 | 10,583 | $327K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 23% | 6,894 | 6,664 | $306K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 21% | 6,136 | 5,993 | $279K |
| V2020 | Frames, purchases | 14% | 11,830 | 11,662 | $189K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.4% | 988 | 949 | $71K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.4% | 449 | 440 | $45K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.3% | 3,465 | 3,443 | $43K |
| 92134 | 1.4% | 931 | 859 | $19K | |
| 92015 | Determination of refractive state | 1.1% | 1,471 | 1,433 | $14K |
| 00142 | <1% | 68 | 52 | $4K | |
| 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 | <1% | 102 | 91 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 72 | 63 | $3K |
4 more codes
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 64 | $3K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 58 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 25 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 73 | $977.95 |
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 officialMICHELETTI, MARK (EXECUTIVE DIRECTOR)