Prieto-Ayala, Clarissa
Prieto-Ayala, Clarissa was paid $134K by Medicaid between Apr 2022 and Nov 2024, across 8 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 45% of everything it billed.
33Billing provider infoPRIETO-AYALA, CLARISSA
NEW CANEY, TX 77357
NEW CANEY, TX 77357
33aNPI1851749667assigned 06/02/2016
33bProvider typeOptometrist
28Total paid$134K
24GClaims4,856
24DCodes billed8
24AFirst – last monthApr 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#325 of 1,408
Median peer was paid$30K
This provider vs. median4.4×
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 | |
|---|---|---|---|
| 2022 | 2,180 | $58K | |
| 2023 | 2,443 | $71K | |
| 2024incomplete | 233 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 45% | 1,493 | 1,432 | $60K |
| V2025 | Deluxe frame | 26% | 1,335 | 1,272 | $34K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 18% | 1,401 | 1,329 | $24K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 5.5% | 176 | 174 | $7K |
| V2020 | Frames, purchases | 2.9% | 216 | 211 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.7% | 150 | 150 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 52 | 51 | $466.00 |
| 92015 | Determination of refractive state | <1% | 33 | 33 | $10.00 |
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.