Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Villa, Carlos

Villa, Carlos was paid $48K by Medicaid between Feb 2019 and Jun 2021, across 16 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 65% of everything it billed.

33Billing provider infoVILLA, CARLOS
ORANGE PARK, FL 32073
33aNPI1942291901assigned 10/31/2005
33bProvider typeOptometrist
28Total paid$48K
24GClaims7,836
24DCodes billed16
24AFirst – last monthFeb 2019 – Jun 2021
Compared with peers

Next to other Optometrist providers in Florida

Rank by total paid#350 of 941
Median peer was paid$21K
This provider vs. median2.2×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20195,681$31K
20201,774$13K
2021381$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 65% 1,352 1,232 $31K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 231 221 $10K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 230 222 $5K
92015 Determination of refractive state 1.4% 588 563 $672.55
V2020 Frames, purchases 1.3% 1,214 1,177 $633.10
92341 1.2% 94 93 $588.32
92342 <1% 649 644 $284.98
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 1,064 844 $70.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 391 334 $5.00
V2025 Deluxe frame 0% 231 217 $0.00
2022F 0% 236 236 $0.00
V2750 Anti-reflective coating, per lens 0% 166 111 $0.00
4 more codes
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 56 $0.00
3072F 0% 146 $0.00
V2756 Eye glass case 0% 636 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 552 $0.00

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.