Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Med Southwest, PLLC

Med Southwest, PLLC was paid $8K by Medicaid between Apr 2021 and Nov 2024, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 51% of everything it billed.

33Billing provider infoMED SOUTHWEST, PLLC
SAN ANGELO, TX 76901
33aNPI1144825662assigned 12/02/2020
33bProvider typeOptometrist
28Total paid$8K
24GClaims1,177
24DCodes billed5
24AFirst – last monthApr 2021 – Nov 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#953 of 1,408
Median peer was paid$30K
This provider vs. median0.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0K$2.0K2018201920202021202220232024
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
2021318$82.82
2022145$544.80
2023453$2K
2024incomplete261$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 51% 164 137 $4K
V2020 Frames, purchases 33% 483 422 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10% 387 203 $813.85
S0620 Routine ophthalmological examination including refraction; new patient 4.9% 36 36 $391.32
92015 Determination of refractive state <1% 107 76 $77.50

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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.