Pessoa, Carlos
Pessoa, Carlos was paid $18K by Medicaid between Feb 2023 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoPESSOA, CARLOS
SAN ANTONIO, TX 78215
SAN ANTONIO, TX 78215
33aNPI1114377173assigned 06/20/2016
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$18K
24GClaims357
24DCodes billed6
24AFirst – last monthFeb 2023 – Nov 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Texas
Rank by total paid#32 of 52
Median peer was paid$30K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2023 | 174 | $9K | |
| 2024incomplete | 183 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 46 | 46 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 50 | 50 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 20% | 90 | 90 | $4K |
| 92015 | Determination of refractive state | 10% | 129 | 129 | $2K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 6.9% | 29 | 29 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.9% | 13 | 12 | $886.26 |
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.