Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Med Southwest, PLLC

Med Southwest, PLLC was paid $31K by Medicaid between Oct 2020 and Dec 2024, across 7 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 41% of everything it billed.

33Billing provider infoMED SOUTHWEST, PLLC
CORSICANA, TX 75110
33aNPI1043855174assigned 11/13/2019
33bProvider typeOptometrist
28Total paid$31K
24GClaims1,250
24DCodes billed7
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#697 of 1,408
Median peer was paid$30K
This provider vs. median1.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
2020242$2K
202132$63.84
2022217$7K
2023378$11K
2024incomplete381$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 41% 273 266 $13K
V2020 Frames, purchases 35% 543 529 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 14% 232 228 $4K
S0621 Routine ophthalmological examination including refraction; established patient 4.9% 31 30 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.5% 27 27 $1K
92015 Determination of refractive state <1% 65 64 $277.90
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 79 43 $89.89

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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.