Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agnes L Palys Od PC

Agnes L Palys Od PC was paid $153K by Medicaid between Jan 2018 and Oct 2022, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.

33Billing provider infoAGNES L PALYS OD PC
SAN ANTONIO, TX 78228
33aNPI1386744332assigned 09/22/2006
28Total paid$153K
24GClaims4,922
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in Texas

Rank by total paid#14 of 52
Median peer was paid$30K
This provider vs. median5.0×

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$10K$20K2018201920202021202220232024
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
201844$691.36
201994$4K
2020757$34K
20212,081$84K
20221,946$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 33% 664 656 $50K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 326 320 $37K
S0621 Routine ophthalmological examination including refraction; established patient 11% 407 405 $17K
92015 Determination of refractive state 9.9% 1,755 1,680 $15K
S0620 Routine ophthalmological examination including refraction; new patient 6.1% 220 219 $9K
V2020 Frames, purchases 6.0% 460 458 $9K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.9% 451 450 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 1.8% 165 164 $3K
V2025 Deluxe frame 1.7% 78 78 $3K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 58 58 $873.95
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 28 28 $345.86
V2799 Vision item or service, miscellaneous <1% 17 16 $182.72
3 more codes
V2750 Anti-reflective coating, per lens <1% 12 $140.58
99072 0% 141 $0.00
S9986 Not medically necessary service (patient is aware that service not medically necessary) 0% 140 $0.00

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.

From NPPES

Who's on the registration

Authorized officialPALYS, AGNES (PRESIDENT OWNER)