Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Med Southwest, PLLC

Med Southwest, PLLC was paid $700.00 by Medicaid between Sep 2022 and May 2024, across 3 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 61% of everything it billed.

33Billing provider infoMED SOUTHWEST, PLLC
SILSBEE, TX 77656
33aNPI1275140543assigned 09/30/2020
33bProvider typeOptometrist
28Total paid$700.00
24GClaims54
24DCodes billed3
24AFirst – last monthSep 2022 – May 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#1,241 of 1,408
Median peer was paid$30K
This provider vs. median0.0×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200$400$6002018201920202021202220232024
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
202239$424.00
2024incomplete15$276.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 61% 15 15 $424.00
V2020 Frames, purchases 39% 27 25 $276.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 12 12 $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.

From NPPES

Who's on the registration

Authorized officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.