Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Le, Mark

Le, Mark was paid $152K by Medicaid between Oct 2020 and Dec 2024, across 5 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 91% of everything it billed.

33Billing provider infoLE, MARK
HOUSTON, TX 77021
33aNPI1033209416assigned 10/13/2006
33bProvider typeOptometrist
28Total paid$152K
24GClaims3,699
24DCodes billed5
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#291 of 1,408
Median peer was paid$30K
This provider vs. median5.0×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2020135$6K
2021844$36K
2022864$36K
20231,091$40K
2024incomplete765$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 91% 3,210 3,122 $139K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5.1% 74 72 $8K
92015 Determination of refractive state 2.0% 370 299 $3K
V2520 Contact lens, hydrophilic, spherical, per lens 1.4% 31 31 $2K
S0621 Routine ophthalmological examination including refraction; established patient <1% 14 14 $556.00

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.