Rowe, James
Rowe, James was paid $221K by Medicaid between Oct 2020 and Dec 2024, across 7 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 32% of everything it billed.
33Billing provider infoROWE, JAMES
HARLINGEN, TX 78550
HARLINGEN, TX 78550
33aNPI1447224985assigned 02/13/2006
33bProvider typeOptometrist
28Total paid$221K
24GClaims9,087
24DCodes billed7
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#209 of 1,408
Median peer was paid$30K
This provider vs. median7.3×
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 | 175 | $4K | |
| 2021 | 1,507 | $36K | |
| 2022 | 2,095 | $54K | |
| 2023 | 2,782 | $68K | |
| 2024incomplete | 2,528 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 32% | 1,731 | 1,718 | $70K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 30% | 1,639 | 1,624 | $66K |
| V2020 | Frames, purchases | 19% | 3,179 | 2,993 | $42K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 1,550 | 1,451 | $30K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.6% | 817 | 805 | $8K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.4% | 156 | 139 | $3K |
| V2750 | Anti-reflective coating, per lens | <1% | 15 | 15 | $365.53 |
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.