Ramirez, Sylvia
Ramirez, Sylvia was paid $304K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 29% of everything it billed.
33Billing provider infoRAMIREZ, SYLVIA
RIO GRANDE CITY, TX 78582
RIO GRANDE CITY, TX 78582
33aNPI1740380757assigned 09/22/2006
33bProvider typeOptometrist
28Total paid$304K
24GClaims9,225
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#157 of 1,408
Median peer was paid$30K
This provider vs. median10×
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 | 475 | $20K | |
| 2019 | 339 | $14K | |
| 2020 | 131 | $6K | |
| 2023 | 3,861 | $129K | |
| 2024incomplete | 4,419 | $135K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 29% | 1,923 | 1,922 | $88K |
| V2025 | Deluxe frame | 22% | 1,087 | 1,085 | $66K |
| V2020 | Frames, purchases | 15% | 2,185 | 2,161 | $44K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 14% | 922 | 922 | $41K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 1,644 | 1,635 | $34K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 3.8% | 676 | 673 | $12K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.1% | 497 | 495 | $9K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | 1.2% | 141 | 141 | $4K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | <1% | 25 | 24 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 88 | 88 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 25 | 25 | $1K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $185.09 |
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.