Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Tso Bay City, PLLC

Tso Bay City, PLLC was paid $56K by Medicaid between Sep 2021 and Dec 2024, across 5 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 57% of everything it billed.

33Billing provider infoTSO BAY CITY, PLLC
BAY CITY, TX 77414
33aNPI1215542022assigned 09/09/2020
33bProvider typeOptometrist
28Total paid$56K
24GClaims2,213
24DCodes billed5
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#547 of 1,408
Median peer was paid$30K
This provider vs. median1.8×

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$4.0K2018201920202021202220232024
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
2021175$5K
2022576$13K
2023668$18K
2024incomplete794$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 57% 804 758 $32K
V2020 Frames, purchases 18% 719 671 $10K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12% 383 362 $7K
S0621 Routine ophthalmological examination including refraction; established patient 9.1% 125 119 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 3.8% 182 178 $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.

From NPPES

Who's on the registration

Authorized officialSHANDLEY, DARRIN (OPTOMETRIST)