Salone, Grace
Salone, Grace was paid $69K by Medicaid between Jun 2022 and Dec 2024, across 8 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 38% of everything it billed.
33Billing provider infoSALONE, GRACE
GEORGETOWN, TX 78626
GEORGETOWN, TX 78626
33aNPI1356570907assigned 07/03/2009
33bProvider typePediatric Optometrist
28Total paid$69K
24GClaims2,467
24DCodes billed8
24AFirst – last monthJun 2022 – Dec 2024
Compared with peers
Next to other Pediatric Optometrist providers in Texas
Rank by total paid#5 of 7
Median peer was paid$97K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2022 | 28 | $1K | |
| 2023 | 1,275 | $35K | |
| 2024incomplete | 1,164 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 38% | 653 | 630 | $27K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 20% | 335 | 328 | $14K |
| V2020 | Frames, purchases | 18% | 638 | 597 | $13K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 332 | 315 | $7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.8% | 404 | 377 | $6K |
| V2102 | Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens | 2.5% | 81 | 78 | $2K |
| V2025 | Deluxe frame | 1.2% | 12 | 12 | $835.44 |
| V2106 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens | <1% | 12 | 12 | $124.56 |
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.