Brown, Toby
Brown, Toby was paid $327K by Medicaid between Nov 2020 and Dec 2024, across 8 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 34% of everything it billed.
33Billing provider infoBROWN, TOBY
TULIA, TX 79088
TULIA, TX 79088
33aNPI1053366096assigned 05/24/2006
33bProvider typeOptometrist
28Total paid$327K
24GClaims8,928
24DCodes billed8
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#142 of 1,408
Median peer was paid$30K
This provider vs. median11×
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 | |
|---|---|---|---|
| 2020 | 296 | $11K | |
| 2021 | 2,307 | $80K | |
| 2022 | 2,638 | $87K | |
| 2023 | 2,245 | $86K | |
| 2024incomplete | 1,442 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 34% | 1,983 | 1,834 | $112K |
| V2020 | Frames, purchases | 24% | 2,519 | 2,291 | $78K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 24% | 1,407 | 1,350 | $77K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 10% | 1,710 | 1,541 | $33K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | 4.1% | 702 | 620 | $14K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.9% | 434 | 399 | $10K |
| V2102 | Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens | <1% | 95 | 90 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 78 | 69 | $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.