Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

East Texas Eye Care Associates PLLC

East Texas Eye Care Associates PLLC was paid $91K by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.

33Billing provider infoEAST TEXAS EYE CARE ASSOCIATES PLLC
TYLER, TX 75701
33aNPI1427029024assigned 01/31/2006
33bProvider typeOphthalmology Physician
28Total paid$91K
24GClaims3,690
24DCodes billed10
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#58 of 231
Median peer was paid$16K
This provider vs. median5.8×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018417$4K
2019460$4K
2020565$8K
20211,314$40K
2022636$24K
2023198$6K
2024incomplete100$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 39% 1,033 1,005 $36K
67028 Intravitreal injection of a pharmacologic agent 20% 624 533 $19K
92134 20% 1,410 1,376 $18K
J9035 Injection, bevacizumab, 10 mg 5.7% 115 94 $5K
S0620 Routine ophthalmological examination including refraction; new patient 5.2% 114 113 $5K
92015 Determination of refractive state 4.1% 272 268 $4K
S0621 Routine ophthalmological examination including refraction; established patient 3.3% 68 68 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 30 28 $894.68
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 12 12 $890.41
92133 <1% 12 12 $286.23

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 officialCHEATHAM, JUNE (ADMINISTRATOR)