Villafane, Oscar
Villafane, Oscar was paid $6K by Medicaid between Nov 2020 and Oct 2022, across 2 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 74% of everything it billed.
33Billing provider infoVILLAFANE, OSCAR
SHERMAN, TX 75092
SHERMAN, TX 75092
33aNPI1437447562assigned 07/11/2011
33bProvider typeOptometrist
28Total paid$6K
24GClaims137
24DCodes billed2
24AFirst – last monthNov 2020 – Oct 2022
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#978 of 1,408
Median peer was paid$30K
This provider vs. median0.2×
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 | 12 | $520.00 | |
| 2021 | 83 | $3K | |
| 2022 | 42 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 74% | 97 | 95 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 26% | 40 | 40 | $2K |
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.