Supplier
Moore, Tory
Moore, Tory was paid $37K by Medicaid between Nov 2020 and Nov 2022, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 47% of everything it billed.
33Billing provider infoMOORE, TORY
DUMAS, TX 79029
DUMAS, TX 79029
33aNPI1336134980assigned 09/20/2005
33bProvider typeEyewear Supplier
28Total paid$37K
24GClaims1,556
24DCodes billed5
24AFirst – last monthNov 2020 – Nov 2022
Compared with peers
Next to other Eyewear Supplier providers in Texas
Rank by total paid#59 of 100
Median peer was paid$68K
This provider vs. median0.6×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 153 | $4K | |
| 2021 | 731 | $17K | |
| 2022 | 672 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 47% | 454 | 434 | $18K |
| V2020 | Frames, purchases | 22% | 542 | 522 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 19% | 432 | 422 | $7K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 11% | 98 | 98 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 30 | 28 | $400.51 |
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.