Pradilla, Sergio
Pradilla, Sergio was paid $323K by Medicaid between Jan 2019 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoPRADILLA, SERGIO
BRANDON, FL 33511
BRANDON, FL 33511
33aNPI1881027811assigned 08/13/2013
33bProvider typeOptometrist
28Total paid$323K
24GClaims17,240
24DCodes billed17
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#61 of 941
Median peer was paid$21K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2019 | 1,779 | $32K | |
| 2020 | 653 | $10K | |
| 2021 | 913 | $15K | |
| 2022 | 4,988 | $86K | |
| 2023 | 5,346 | $93K | |
| 2024incomplete | 3,561 | $87K |
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 | 31% | 2,588 | 2,406 | $101K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 23% | 2,123 | 1,921 | $73K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 1,166 | 1,069 | $68K |
| V2020 | Frames, purchases | 7.3% | 3,066 | 2,765 | $24K |
| 92015 | Determination of refractive state | 5.3% | 3,570 | 3,304 | $17K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.0% | 3,089 | 2,815 | $16K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.9% | 615 | 549 | $16K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 64 | 61 | $5K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 43 | 42 | $2K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 20 | 13 | $789.00 |
| 92310 | <1% | 12 | 12 | $35.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 270 | 264 | $10.00 |
5 more codes
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.