Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kaiser, Ron

Kaiser, Ron was paid $63K by Medicaid between Apr 2018 and Nov 2021, across 8 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 35% of everything it billed.

33Billing provider infoKAISER, RON
DEL RIO, TX 78840
33aNPI1215060223assigned 03/13/2007
33bProvider typeOptometrist
28Total paid$63K
24GClaims2,640
24DCodes billed8
24AFirst – last monthApr 2018 – Nov 2021
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#509 of 1,408
Median peer was paid$30K
This provider vs. median2.1×

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$5.0K$10K2018201920202021202220232024
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
2018310$8K
201976$2K
2020220$5K
20212,034$48K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 35% 331 326 $22K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 18% 1,091 518 $11K
V2020 Frames, purchases 15% 622 555 $10K
V2025 Deluxe frame 7.9% 159 159 $5K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.6% 62 55 $5K
S0620 Routine ophthalmological examination including refraction; new patient 6.3% 58 58 $4K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 5.8% 135 68 $4K
92015 Determination of refractive state 3.6% 182 175 $2K

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.