Medicaid Provider Spending

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

HEA CLINIC PA

NPI: 1467420240 · HOUSTON, TX 77025 · Optometrist · NPI assigned 03/09/2006

$3.89M
Total Medicaid Paid
71,222
Total Claims
65,046
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialMERKLE, THOMAS (CHIEF INFORMATION OFFICER)
NPI Enumeration Date03/09/2006

Related Entities

Other providers sharing the same authorized official: MERKLE, THOMAS

ProviderCityStateTotal Paid
HOUSTON OPTIC, PLLC HOUSTON TX $799K
HEA CLINIC PA SUGAR LAND TX $729K
HEA CLINIC PA PEARLAND TX $49K
HEA GRAMERCY SURGERY CENTER, PLLC HOUSTON TX $28K
HEA CLINIC, PA LEAGUE CITY TX $4K
HOUSTON OPTIC, PLLC HOUSTON TX $0.00
HOUSTON OPTIC, PLLC HOUSTON TX $0.00
HOUSTON OPTIC, PLLC HOUSTON TX $0.00
HOUSTON OPTIC, PLLC KINGWOOD TX $0.00
HOUSTON OPTIC, PLLC PASADENA TX $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 990 $12K
2019 480 $9K
2020 8,789 $479K
2021 20,519 $1.19M
2022 17,520 $937K
2023 14,016 $813K
2024 8,908 $442K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15,251 14,620 $1.31M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,724 7,492 $874K
92060 10,799 10,288 $535K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6,502 6,187 $432K
99233 Prolong inpt eval add15 m 2,949 1,574 $185K
92015 Determination of refractive state 18,240 17,771 $181K
99223 Prolong inpt eval add15 m 1,181 1,169 $151K
92201 6,158 3,751 $103K
67311 134 83 $66K
92134 1,491 1,421 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 276 266 $10K
67028 Intravitreal injection of a pharmacologic agent 309 235 $9K
92133 54 52 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 14 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 32 30 $1K
92285 39 39 $686.79
92083 12 12 $534.51
92202 26 26 $318.33
92226 31 16 $0.00