Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Garza, Raymund

Garza, Raymund was paid $915K by Medicaid between Oct 2020 and Dec 2024, across 9 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 29% of everything it billed.

33Billing provider infoGARZA, RAYMUND
CORPUS CHRISTI, TX 78411
33aNPI1356423180assigned 10/20/2006
33bProvider typeOptometrist
28Total paid$915K
24GClaims19,792
24DCodes billed9
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#41 of 1,408
Median peer was paid$30K
This provider vs. median30×

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$20K$40K2018201920202021202220232024
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
2020593$26K
20214,595$208K
20225,267$245K
20234,951$229K
2024incomplete4,386$207K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 29% 6,015 5,953 $266K
S0621 Routine ophthalmological examination including refraction; established patient 23% 3,085 3,076 $214K
V2020 Frames, purchases 23% 6,727 6,652 $211K
S0620 Routine ophthalmological examination including refraction; new patient 13% 1,822 1,820 $122K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.8% 312 310 $35K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3.8% 366 365 $34K
92015 Determination of refractive state 1.9% 1,008 1,006 $17K
V2105 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens 1.4% 372 364 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 85 85 $3K

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.