Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Goolsbee, Seth

Goolsbee, Seth was paid $103K by Medicaid between Nov 2020 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.

33Billing provider infoGOOLSBEE, SETH
TYLER, TX 75703
33aNPI1174015523assigned 06/01/2018
33bProvider typeOptometrist
28Total paid$103K
24GClaims3,618
24DCodes billed8
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#386 of 1,408
Median peer was paid$30K
This provider vs. median3.4×

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$5.0K$10K2018201920202021202220232024
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
202083$1K
2021335$4K
2022706$17K
20231,439$44K
2024incomplete1,055$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 42% 477 471 $43K
V2020 Frames, purchases 17% 974 940 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 15% 145 139 $15K
92015 Determination of refractive state 12% 1,137 1,103 $13K
V2784 Lens, polycarbonate or equal, any index, per lens 8.7% 674 647 $9K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.1% 110 103 $2K
92250 1.9% 40 39 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.3% 61 61 $1K

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.