Physician
DO, Y
DO, Y was paid $236K by Medicaid between Jul 2020 and Dec 2024, across 6 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 59% of everything it billed.
33Billing provider infoDO, Y
HOUSTON, TX 77081
HOUSTON, TX 77081
33aNPI1376685503assigned 02/13/2007
33bProvider typeOphthalmology Physician
28Total paid$236K
24GClaims9,735
24DCodes billed6
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#35 of 231
Median peer was paid$16K
This provider vs. median15×
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 | 854 | $16K | |
| 2021 | 2,936 | $69K | |
| 2022 | 2,570 | $62K | |
| 2023 | 2,193 | $59K | |
| 2024incomplete | 1,182 | $30K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 59% | 3,237 | 3,169 | $138K |
| V2020 | Frames, purchases | 21% | 3,603 | 3,476 | $49K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 1,844 | 1,775 | $31K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.1% | 584 | 564 | $10K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 3.0% | 398 | 387 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 69 | 69 | $135.00 |
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.