Hinojosa, Marcus
Hinojosa, Marcus was paid $2.33M by Medicaid between Dec 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoHINOJOSA, MARCUS
LAREDO, TX 78041
LAREDO, TX 78041
33aNPI1184642191assigned 07/17/2006
33bProvider typeOptometrist
28Total paid$2.33M
24GClaims57,000
24DCodes billed17
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#7 of 1,408
Median peer was paid$30K
This provider vs. median77×
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 | 60 | $2K | |
| 2019 | 69 | $2K | |
| 2020 | 2,035 | $66K | |
| 2021 | 12,802 | $478K | |
| 2022 | 14,950 | $547K | |
| 2023 | 14,798 | $665K | |
| 2024incomplete | 12,286 | $573K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 40% | 10,703 | 10,438 | $944K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 5,213 | 5,115 | $557K |
| V2020 | Frames, purchases | 9.9% | 13,794 | 13,475 | $232K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.3% | 9,853 | 9,697 | $194K |
| V2025 | Deluxe frame | 6.4% | 4,865 | 4,849 | $149K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.2% | 4,958 | 4,878 | $99K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.7% | 3,224 | 3,166 | $64K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.9% | 2,297 | 2,274 | $45K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 579 | 562 | $20K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 809 | 788 | $16K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 138 | 134 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 131 | 128 | $3K |
5 more codes
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 54 | $2K |
| V2750 | Anti-reflective coating, per lens | <1% | 225 | $2K |
| 92310 | <1% | 122 | $664.00 | |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 16 | $345.10 |
| V2744 | Tint, photochromatic, per lens | <1% | 19 | $128.03 |
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.