Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Riojas, Jose

Riojas, Jose was paid $60K by Medicaid between Nov 2020 and Nov 2023, across 4 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 35% of everything it billed.

33Billing provider infoRIOJAS, JOSE
EAGLE PASS, TX 78852
33aNPI1124014279assigned 09/23/2005
33bProvider typeOptometrist
28Total paid$60K
24GClaims2,044
24DCodes billed4
24AFirst – last monthNov 2020 – Nov 2023
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#530 of 1,408
Median peer was paid$30K
This provider vs. median2.0×

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.

Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K2018201920202021202220232024
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
202029$885.53
2021810$24K
2022873$26K
2023332$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 35% 509 497 $21K
S0620 Routine ophthalmological examination including refraction; new patient 31% 446 439 $19K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 18% 500 492 $11K
V2020 Frames, purchases 16% 589 580 $10K

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.