Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gateway Eye Center LLC

Gateway Eye Center LLC was paid $254K by Medicaid between Jan 2022 and Dec 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 29% of everything it billed.

33Billing provider infoGATEWAY EYE CENTER LLC
GARLAND, TX 75043
33aNPI1407463326assigned 09/24/2020
33bProvider typeOptometrist
28Total paid$254K
24GClaims9,637
24DCodes billed10
24AFirst – last monthJan 2022 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#185 of 1,408
Median peer was paid$30K
This provider vs. median8.4×

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$5.0K$10K$15K2018201920202021202220232024
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
20223,851$97K
20233,738$95K
2024incomplete2,048$62K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 29% 1,562 1,533 $73K
S0620 Routine ophthalmological examination including refraction; new patient 28% 1,569 1,532 $70K
V2020 Frames, purchases 22% 2,440 2,383 $55K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 19% 2,534 2,466 $48K
V2784 Lens, polycarbonate or equal, any index, per lens 1.2% 134 132 $3K
V2750 Anti-reflective coating, per lens <1% 104 103 $2K
92250 <1% 1,115 1,068 $2K
92015 Determination of refractive state <1% 92 91 $155.51
99199 Unlisted special service, procedure or report 0% 40 40 $0.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 0% 47 46 $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 officialSON, JASON (MANAGER)