Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Marquez, Luis

Marquez, Luis was paid $3K by Medicaid between Dec 2021 and Jun 2024, across 6 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 51% of everything it billed.

33Billing provider infoMARQUEZ, LUIS
DEL RIO, TX 78840
33aNPI1275608978assigned 11/21/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims677
24DCodes billed6
24AFirst – last monthDec 2021 – Jun 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#1,079 of 1,408
Median peer was paid$30K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
202114$0.00
2022344$0.00
2023218$2K
2024incomplete101$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 51% 96 96 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 22% 72 72 $726.30
S0621 Routine ophthalmological examination including refraction; established patient 17% 52 52 $563.50
V2020 Frames, purchases 9.9% 14 14 $327.33
V2025 Deluxe frame 0% 42 42 $0.00
92015 Determination of refractive state 0% 401 400 $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.