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

Med Southwest, PLLC was paid $396K by Medicaid between Jul 2019 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.

33Billing provider infoMED SOUTHWEST, PLLC
BROKEN BOW, OK 74728
33aNPI1174089478assigned 02/12/2019
33bProvider typeOptometrist
28Total paid$396K
24GClaims10,317
24DCodes billed8
24AFirst – last monthJul 2019 – Nov 2024
Compared with peers

Next to other Optometrist providers in Oklahoma

Rank by total paid#80 of 336
Median peer was paid$113K
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.

Auditor's notes

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

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

Paid by month

$0$5.0K$10K$15K2018201920202021202220232024
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
2019462$29K
20201,268$67K
20212,744$93K
20221,964$66K
20232,453$86K
2024incomplete1,426$55K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 46% 1,660 1,658 $184K
92340 Fitting of spectacles, except for aphakia; monofocal 15% 1,952 1,921 $60K
92015 Determination of refractive state 12% 2,580 2,580 $46K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 321 321 $43K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10% 1,617 1,597 $41K
V2020 Frames, purchases 5.2% 2,058 2,044 $21K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 88 88 $2K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 41 40 $906.75

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 officialDOWNS, SUE (SECRETARY)
Same official

Other billing entities under DOWNS, SUE

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