Caplan Eye Center, LLC
Caplan Eye Center, LLC was paid $193K by Medicaid between Mar 2018 and Nov 2024, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 22% of everything it billed.
33Billing provider infoCAPLAN EYE CENTER, LLC
SAN ANGELO, TX 76903
SAN ANGELO, TX 76903
33aNPI1760625370assigned 04/13/2009
33bProvider typeOptometrist
28Total paid$193K
24GClaims7,152
24DCodes billed12
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#236 of 1,408
Median peer was paid$30K
This provider vs. median6.3×
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 | 53 | $3K | |
| 2019 | 12 | $177.52 | |
| 2020 | 242 | $9K | |
| 2021 | 2,222 | $78K | |
| 2022 | 3,698 | $79K | |
| 2023 | 605 | $15K | |
| 2024incomplete | 320 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 22% | 1,297 | 1,048 | $43K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 18% | 997 | 849 | $35K |
| V2750 | Anti-reflective coating, per lens | 11% | 831 | 682 | $22K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 263 | 258 | $21K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.7% | 214 | 205 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 9.6% | 991 | 817 | $18K |
| V2020 | Frames, purchases | 7.0% | 1,110 | 908 | $14K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.2% | 724 | 586 | $10K |
| 92015 | Determination of refractive state | 2.8% | 424 | 410 | $5K |
| V2025 | Deluxe frame | 2.3% | 143 | 139 | $4K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 107 | 78 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 51 | 51 | $809.60 |
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 officialBLANKENSHIP, THOMAS (OWNER)