Physician
Cantu, Dora
Cantu, Dora was paid $32K by Medicaid between Aug 2020 and Sep 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoCANTU, DORA
HOUSTON, TX 77008
HOUSTON, TX 77008
33aNPI1194725366assigned 07/28/2005
33bProvider typeOphthalmology Physician
28Total paid$32K
24GClaims2,919
24DCodes billed12
24AFirst – last monthAug 2020 – Sep 2024
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#94 of 231
Median peer was paid$16K
This provider vs. median2.0×
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 | |
|---|---|---|---|
| 2020 | 415 | $4K | |
| 2021 | 1,223 | $8K | |
| 2022 | 984 | $9K | |
| 2023 | 194 | $7K | |
| 2024incomplete | 103 | $3K |
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 | 36% | 112 | 104 | $12K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 16% | 119 | 119 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 51 | 50 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 14% | 106 | 106 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.3% | 100 | 100 | $2K |
| 92015 | Determination of refractive state | 5.2% | 392 | 377 | $2K |
| V2025 | Deluxe frame | 3.4% | 46 | 46 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.2% | 16 | 15 | $1K |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 721 | 662 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 567 | 533 | $0.00 |
| 1036F | 0% | 649 | 596 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 40 | 35 | $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.