Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Rios, Rolando

Rios, Rolando was paid $133K by Medicaid between Dec 2018 and Dec 2024, across 8 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 27% of everything it billed.

33Billing provider infoRIOS, ROLANDO
WESLACO, TX 78596
33aNPI1033276944assigned 01/02/2007
33bProvider typeOptometrist
28Total paid$133K
24GClaims4,495
24DCodes billed8
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#328 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

$0$5.0K$10K$15K2018201920202021202220232024
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
201812$176.56
201926$759.34
2020101$2K
20232,059$62K
2024incomplete2,297$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 27% 867 861 $36K
S0621 Routine ophthalmological examination including refraction; established patient 16% 517 505 $21K
V2020 Frames, purchases 16% 1,225 1,199 $21K
V2025 Deluxe frame 15% 302 301 $20K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 14% 877 870 $18K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.6% 533 511 $10K
V2784 Lens, polycarbonate or equal, any index, per lens 4.2% 162 157 $6K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 12 12 $169.32

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.