Buena Vista Optical, P.C.

Buena Vista Optical, P.C. was paid $125K by Medicaid between Jan 2018 and May 2019, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.

33Billing provider infoBUENA VISTA OPTICAL, P.C.
CHICAGO, IL 60629

33aNPI1740464296assigned 12/19/2007

33bProvider typeEyewear Supplier

28Total paid$125K

24GClaims3,258

24DCodes billed5

24AFirst – last monthJan 2018 – May 2019

Compared with peers

Next to other Eyewear Supplier providers in Illinois

Rank by total paid#10 of 71

Median peer was paid$27K

This provider vs. median4.7×

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	2,722	$103K
2019	536	$23K

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	50%	1,379	685	$62K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	37%	858	551	$46K
V2025	Deluxe frame	7.1%	800	508	$9K
S0621	Routine ophthalmological examination including refraction; established patient	6.4%	179	179	$8K
V2784	Lens, polycarbonate or equal, any index, per lens	0%	42	42	$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 officialSIMS, TODD (PRESIDENT)