Planchet, Stephen
Planchet, Stephen was paid $52K by Medicaid between Aug 2020 and Jul 2021, across 8 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 44% of everything it billed.
33Billing provider infoPLANCHET, STEPHEN
SPRING BRANCH, TX 78070
SPRING BRANCH, TX 78070
33aNPI1205863925assigned 06/27/2006
33bProvider typeOptometrist
28Total paid$52K
24GClaims3,429
24DCodes billed8
24AFirst – last monthAug 2020 – Jul 2021
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#559 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
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 | 631 | $2K | |
| 2021 | 2,798 | $51K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 44% | 830 | 698 | $23K |
| V2020 | Frames, purchases | 22% | 708 | 636 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 472 | 438 | $8K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 8.7% | 175 | 145 | $5K |
| V2025 | Deluxe frame | 6.2% | 51 | 51 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.6% | 117 | 97 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.2% | 45 | 41 | $628.97 |
| 92015 | Determination of refractive state | 0% | 1,031 | 859 | $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.