Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PEARLAND TEXAS STATE OPTICAL, INCORPORATED

NPI: 1447677364 · PEARLAND, TX 77581 · Optometrist · NPI assigned 03/28/2014

$71K
Total Medicaid Paid
2,879
Total Claims
2,770
Beneficiaries
5
Codes Billed
2022-08
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHILLIARD, INGRID (OWNER)
NPI Enumeration Date03/28/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 258 $6K
2023 1,658 $42K
2024 963 $23K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0621 Routine ophthalmological examination including refraction; established patient 609 595 $25K
S0620 Routine ophthalmological examination including refraction; new patient 404 394 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 864 824 $16K
V2020 Frames, purchases 973 928 $13K
2023F 29 29 $0.00