Ultimate Eyecare Santa Fe, LLC
Ultimate Eyecare Santa Fe, LLC was paid $314K by Medicaid between Dec 2019 and Nov 2024, across 6 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 58% of everything it billed.
33Billing provider infoULTIMATE EYECARE SANTA FE, LLC
SANTA FE, NM 87505
SANTA FE, NM 87505
33aNPI1891182721assigned 04/17/2015
33bProvider typeOptometrist
28Total paid$314K
24GClaims4,012
24DCodes billed6
24AFirst – last monthDec 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in New Mexico
Rank by total paid#38 of 122
Median peer was paid$112K
This provider vs. median2.8×
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 | 13 | $2K | |
| 2020 | 250 | $32K | |
| 2021 | 680 | $48K | |
| 2022 | 946 | $73K | |
| 2023 | 1,064 | $75K | |
| 2024incomplete | 1,059 | $83K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 58% | 1,159 | 1,157 | $183K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 431 | 431 | $57K |
| 92250 | 18% | 1,075 | 1,072 | $55K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.7% | 91 | 91 | $9K |
| 92015 | Determination of refractive state | 2.6% | 1,228 | 1,226 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 28 | 28 | $2K |
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 officialRASMUSSEN, MARK (OWNER)