Northwest Eye Associates
Northwest Eye Associates was paid $105K by Medicaid between Jan 2018 and Oct 2024, across 27 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.
33Billing provider infoNORTHWEST EYE ASSOCIATES
HOUSTON, TX 77008
HOUSTON, TX 77008
33aNPI1154322022assigned 08/02/2005
33bProvider typeOptometrist
28Total paid$105K
24GClaims17,158
24DCodes billed27
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#380 of 1,408
Median peer was paid$30K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2018 | 4,565 | $5K | |
| 2019 | 2,802 | $3K | |
| 2020 | 2,045 | $11K | |
| 2021 | 4,513 | $41K | |
| 2022 | 2,456 | $25K | |
| 2023 | 594 | $14K | |
| 2024incomplete | 183 | $7K |
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 | 37% | 511 | 467 | $39K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 1,161 | 1,012 | $26K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 24% | 1,413 | 1,167 | $26K |
| 92015 | Determination of refractive state | 4.9% | 851 | 784 | $5K |
| 92134 | 3.7% | 675 | 588 | $4K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.9% | 49 | 49 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 56 | 56 | $997.55 |
| 92002 | <1% | 14 | 14 | $890.24 | |
| 68761 | <1% | 22 | 15 | $846.37 | |
| V2025 | Deluxe frame | <1% | 12 | 12 | $530.52 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 16 | 16 | $43.75 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 565 | 468 | $0.00 |
15 more codes
| 1036F | 0% | 2,644 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 997 | $0.00 |
| 3072F | 0% | 48 | $0.00 | |
| 3284F | 0% | 148 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 134 | $0.00 |
| 3285F | 0% | 147 | $0.00 | |
| 2022F | 0% | 285 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,605 | $0.00 |
| 0517F | 0% | 707 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 1,037 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 2,077 | $0.00 |
| 2026F | 0% | 284 | $0.00 | |
| 2024F | 0% | 284 | $0.00 | |
| 2027F | 0% | 373 | $0.00 | |
| V2020 | Frames, purchases | 0% | 43 | $0.00 |
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 officialRODRIGUEZ, DIANA (ADMIN)