Mackey, Carmen
Mackey, Carmen was paid $34K by Medicaid between Jun 2021 and Apr 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 36% of everything it billed.
33Billing provider infoMACKEY, CARMEN
CENTER, TX 75935
CENTER, TX 75935
33aNPI1144474404assigned 11/12/2008
33bProvider typeOptometrist
28Total paid$34K
24GClaims1,087
24DCodes billed10
24AFirst – last monthJun 2021 – Apr 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#673 of 1,408
Median peer was paid$30K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2021 | 62 | $1K | |
| 2022 | 323 | $9K | |
| 2023 | 653 | $22K | |
| 2024incomplete | 49 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 36% | 230 | 220 | $12K |
| V2020 | Frames, purchases | 29% | 486 | 454 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 156 | 151 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.1% | 101 | 98 | $3K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 5.2% | 30 | 29 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.5% | 12 | 12 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.8% | 14 | 13 | $941.17 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.1% | 33 | 32 | $726.10 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.0% | 13 | 13 | $345.90 |
| 92015 | Determination of refractive state | <1% | 12 | 12 | $187.52 |
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.