Hea Clinic PA
Hea Clinic PA was paid $3.89M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoHEA CLINIC PA
HOUSTON, TX 77025
HOUSTON, TX 77025
33aNPI1467420240assigned 03/09/2006
33bProvider typeOptometrist
28Total paid$3.89M
24GClaims71,222
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#3 of 1,408
Median peer was paid$30K
This provider vs. median128×
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 | |
|---|---|---|---|
| 2018 | 990 | $12K | |
| 2019 | 480 | $9K | |
| 2020 | 8,789 | $479K | |
| 2021 | 20,519 | $1.19M | |
| 2022 | 17,520 | $937K | |
| 2023 | 14,016 | $813K | |
| 2024incomplete | 8,908 | $442K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 15,251 | 14,620 | $1.31M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 7,724 | 7,492 | $874K |
| 92060 | 14% | 10,799 | 10,288 | $535K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 11% | 6,502 | 6,187 | $432K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 4.8% | 2,949 | 1,574 | $185K |
| 92015 | Determination of refractive state | 4.7% | 18,240 | 17,771 | $181K |
| 99223 | Prolong inpt eval add15 m | 3.9% | 1,181 | 1,169 | $151K |
| 92201 | 2.7% | 6,158 | 3,751 | $103K | |
| 67311 | 1.7% | 134 | 83 | $66K | |
| 92134 | <1% | 1,491 | 1,421 | $20K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 276 | 266 | $10K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 309 | 235 | $9K |
7 more codes
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.
From NPPES
Who's on the registration
Authorized officialMERKLE, THOMAS (CHIEF INFORMATION OFFICER)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.