Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › Tyler › NPI 1184936353

Marshall, Matthew

Marshall, Matthew was paid $52K by Medicaid between Nov 2020 and Jan 2024, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 42% of everything it billed.

33Billing provider infoMARSHALL, MATTHEW
TYLER, TX 75701
33aNPI1184936353assigned 07/05/2010
33bProvider typeOptometrist
28Total paid$52K
24GClaims1,665
24DCodes billed5
24AFirst – last monthNov 2020 – Jan 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#562 of 1,408
Median peer was paid$30K
This provider vs. median1.7×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020128$3K
2021681$19K
2022780$26K
202364$3K
2024incomplete12$862.13
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 42% 517 497 $22K
S0620 Routine ophthalmological examination including refraction; new patient 28% 361 354 $14K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14% 151 145 $7K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.3% 75 74 $5K
92015 Determination of refractive state 6.9% 561 547 $4K

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.