Garcia, Claudia
Garcia, Claudia was paid $348K by Medicaid between Oct 2020 and Dec 2024, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 36% of everything it billed.
33Billing provider infoGARCIA, CLAUDIA
HOUSTON, TX 77081
HOUSTON, TX 77081
33aNPI1457464869assigned 08/17/2006
33bProvider typeOptometrist
28Total paid$348K
24GClaims14,082
24DCodes billed11
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#135 of 1,408
Median peer was paid$30K
This provider vs. median11×
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 | 976 | $26K | |
| 2021 | 5,035 | $101K | |
| 2022 | 3,217 | $90K | |
| 2023 | 2,802 | $82K | |
| 2024incomplete | 2,052 | $49K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 36% | 3,091 | 2,998 | $126K |
| S0592 | Comprehensive contact lens evaluation | 15% | 756 | 740 | $52K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 13% | 1,167 | 1,149 | $46K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 2,512 | 2,329 | $45K |
| V2020 | Frames, purchases | 10% | 2,510 | 2,341 | $36K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.5% | 2,385 | 2,226 | $23K |
| V2500 | Contact lens, pmma, spherical, per lens | 3.9% | 1,199 | 1,133 | $14K |
| 92310 | 1.8% | 288 | 266 | $6K | |
| 92002 | <1% | 28 | 28 | $337.50 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 49 | 49 | $202.50 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 97 | 89 | $168.75 |
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.