Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Twamley, Christian

Twamley, Christian was paid $685K by Medicaid between Aug 2020 and Dec 2024, across 20 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoTWAMLEY, CHRISTIAN
ARLINGTON, TX 76017
33aNPI1144210592assigned 10/26/2005
33bProvider typeOptometrist
28Total paid$685K
24GClaims22,098
24DCodes billed20
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#61 of 1,408
Median peer was paid$30K
This provider vs. median23×

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$20K$40K2018201920202021202220232024
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
20201,364$33K
20214,102$119K
20228,358$260K
20235,634$186K
2024incomplete2,640$87K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 1,761 1,736 $157K
V2020 Frames, purchases 21% 6,946 6,708 $146K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 947 936 $99K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13% 4,146 4,014 $91K
92015 Determination of refractive state 7.1% 3,595 3,551 $49K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 5.2% 589 584 $36K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 3.4% 1,161 1,126 $24K
V2750 Anti-reflective coating, per lens 2.7% 520 507 $18K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.3% 836 817 $16K
92025 1.7% 434 431 $12K
92250 1.5% 205 202 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 306 298 $9K
8 more codes
S0621 Routine ophthalmological examination including refraction; established patient 1.1% 145 $8K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 226 $4K
92310 <1% 40 $3K
92002 <1% 25 $1K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens <1% 37 $758.40
V2784 Lens, polycarbonate or equal, any index, per lens <1% 115 $719.10
92285 <1% 52 $608.94
92286 <1% 12 $314.70

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.