Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › HOUSTON › MEMORIAL CITY TSO, P.C.

MEMORIAL CITY TSO, P.C.

NPI: 1295704682 · HOUSTON, TX 77024 · Optometrist · NPI assigned 03/16/2006

$12K
Total Medicaid Paid
457
Total Claims
443
Beneficiaries
6
Codes Billed
2020-09
First Month
2021-09
Last Month

Provider Details

Authorized OfficialFORD, THOMAS (HR DIRECTOR)
NPI Enumeration Date03/16/2006

Related Entities

Other providers sharing the same authorized official: FORD, THOMAS

ProviderCityStateTotal Paid
LITTLE ANGELS THERAPY, INC. HICKORY NC $7.98M
NORTHSHORE TSO, INC. HOUSTON TX $87K
NORTHLINE TSO PC HOUSTON TX $36K
PASADENA TEXAS STATE OPTICAL, P.C. PASADENA TX $35K
GREENSPOINT TSO, PC HOUSTON TX $27K
PASADENA OPTICAL INC PASADENA TX $24K
TOMBALL TEXAS STATE OPTICAL PA TOMBALL TX $23K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 157 $4K
2021 300 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0620 Routine ophthalmological examination including refraction; new patient 147 142 $6K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 127 122 $2K
V2020 Frames, purchases 115 111 $2K
S0621 Routine ophthalmological examination including refraction; established patient 12 12 $525.50
V2784 Lens, polycarbonate or equal, any index, per lens 43 43 $492.00
V2025 Deluxe frame 13 13 $364.07