Ophthalmic Consultants of Texas P.A.
Ophthalmic Consultants of Texas P.A. was paid $2.22M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 31% of everything it billed.
33Billing provider infoOPHTHALMIC CONSULTANTS OF TEXAS P.A.
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1063513794assigned 09/26/2006
33bProvider typeOptometrist
28Total paid$2.22M
24GClaims59,769
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#10 of 1,408
Median peer was paid$30K
This provider vs. median73×
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 | |
|---|---|---|---|
| 2018 | 7,686 | $105K | |
| 2019 | 7,155 | $86K | |
| 2020 | 5,622 | $154K | |
| 2021 | 12,230 | $543K | |
| 2022 | 11,638 | $577K | |
| 2023 | 9,959 | $491K | |
| 2024incomplete | 5,479 | $263K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 31% | 13,401 | 12,792 | $697K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 9,631 | 9,291 | $363K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 16% | 7,534 | 7,108 | $353K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.7% | 8,290 | 7,414 | $194K |
| 65778 | 6.2% | 860 | 741 | $137K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 4.9% | 3,971 | 3,226 | $108K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.1% | 1,046 | 1,005 | $90K |
| J9035 | Injection, bevacizumab, 10 mg | 3.4% | 2,893 | 2,351 | $75K |
| 92134 | 2.1% | 4,356 | 4,235 | $47K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.9% | 1,721 | 1,643 | $43K |
| 99254 | <1% | 161 | 157 | $16K | |
| 92133 | <1% | 1,132 | 1,106 | $16K |
25 more codes
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 325 | $14K |
| 92201 | <1% | 797 | $13K | |
| 92015 | Determination of refractive state | <1% | 876 | $12K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 579 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 147 | $8K |
| 92136 | <1% | 378 | $7K | |
| 92083 | <1% | 423 | $7K | |
| 92250 | <1% | 125 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 38 | $1K |
| 92235 | <1% | 55 | $1K | |
| 68761 | <1% | 41 | $1K | |
| 92071 | <1% | 105 | $932.47 | |
| 92202 | <1% | 202 | $872.69 | |
| 92002 | <1% | 12 | $675.02 | |
| 92225 | <1% | 135 | $665.01 | |
| 93892 | <1% | 12 | $452.75 | |
| 92285 | <1% | 29 | $363.74 | |
| 93886 | <1% | 12 | $32.80 | |
| 93890 | <1% | 12 | $31.55 | |
| 2027F | 0% | 94 | $0.00 | |
| 4040F | 0% | 80 | $0.00 | |
| A4263 | Permanent, long term, non-dissolvable lacrimal duct implant, each | 0% | 34 | $0.00 |
| 92020 | 0% | 12 | $0.00 | |
| 3285F | 0% | 93 | $0.00 | |
| 1036F | 0% | 157 | $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.
From NPPES
Who's on the registration
Authorized officialGONZALEZ, VICTOR (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Valley Retina Institute P.A. | Mcallen, TX | $1.22M |
| RGV Optical Images, LLC | Weslaco, TX | $487K |
| RGV Optical Images LLC | Harlingen, TX | $143K |
| RGV Optical Images LLC | Harlingen, TX | $73K |
| Mcallen Surgical Specialty Center LTD | Mcallen, TX | $58K |
| Harlingen Surgical Center, LLC | Harlingen, TX | $47K |
| Rio Grande Valley Home Health, LLC | Edinburg, TX | $44K |
| Laredo Retina Associates, PLLC | Laredo, TX | $36K |
| RGV Optical Images LLC | La Joya, TX | $1K |
| RGV Optical Images LLC | Falfurrias, TX | $272.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.