Ramirez-Shank, Carmen
Ramirez-Shank, Carmen was paid $505K by Medicaid between Feb 2018 and Dec 2024, across 13 billing codes. Its largest line is 92250, — 16% of everything it billed.
33Billing provider infoRAMIREZ-SHANK, CARMEN
SAN ANTONIO, TX 78214
SAN ANTONIO, TX 78214
33aNPI1386653988assigned 08/05/2006
33bProvider typeOptometrist
28Total paid$505K
24GClaims17,007
24DCodes billed13
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#83 of 1,408
Median peer was paid$30K
This provider vs. median17×
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 | |
|---|---|---|---|
| 2018 | 16 | $186.72 | |
| 2020 | 853 | $21K | |
| 2021 | 4,867 | $123K | |
| 2022 | 4,424 | $116K | |
| 2023 | 4,097 | $147K | |
| 2024incomplete | 2,750 | $97K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 16% | 1,849 | 1,801 | $82K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 15% | 1,739 | 1,672 | $77K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 924 | 915 | $70K |
| V2020 | Frames, purchases | 12% | 3,146 | 3,019 | $62K |
| 92081 | 9.7% | 2,046 | 1,994 | $49K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.2% | 2,165 | 2,098 | $36K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 7.2% | 825 | 804 | $36K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 7.1% | 1,853 | 1,779 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.7% | 253 | 247 | $24K |
| 92015 | Determination of refractive state | 3.4% | 1,429 | 1,400 | $17K |
| V2025 | Deluxe frame | 1.3% | 132 | 131 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.2% | 421 | 413 | $6K |
1 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 225 | $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.