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Vestavia Eye Care, P.C.

Vestavia Eye Care, P.C. was paid $204K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.

33Billing provider infoVESTAVIA EYE CARE, P.C.
VESTAVIA HILLS, AL 35243

33aNPI1851484596assigned 10/02/2006

33bProvider typeOptometrist

28Total paid$204K

24GClaims8,743

24DCodes billed12

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

Next to other Optometrist providers in Alabama

Rank by total paid#106 of 346

Median peer was paid$59K

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
2018	1,426	$24K
2019	1,544	$29K
2020	1,396	$34K
2021	1,434	$39K
2022	965	$31K
2023	1,154	$28K
2024incomplete	824	$20K

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	35%	1,051	1,035	$70K
V2750	Anti-reflective coating, per lens	23%	1,326	1,291	$46K
92340	Fitting of spectacles, except for aphakia; monofocal	13%	1,509	1,472	$26K
V2784	Lens, polycarbonate or equal, any index, per lens	9.5%	1,330	1,298	$19K
V2020	Frames, purchases	9.1%	1,322	1,290	$19K
92015	Determination of refractive state	6.6%	1,530	1,510	$13K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1.9%	538	528	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	1.9%	46	46	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	54	53	$2K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	13	12	$504.00
S0621	Routine ophthalmological examination including refraction; established patient	<1%	12	12	$298.00
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	12	12	$0.17

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 officialESSINGER, JOHN (PRESIDENT)

Same official

Other billing entities under ESSINGER, JOHN

Full network →

Provider	Location	Paid
John A. Essinger II, O.D. P.C.	Birmingham, AL	$28K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.