Costa, Lourdes
Costa, Lourdes was paid $429K by Medicaid between Oct 2018 and Dec 2024, across 3 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 98% of everything it billed.
33Billing provider infoCOSTA, LOURDES
HOUSTON, TX 77022
HOUSTON, TX 77022
33aNPI1477634814assigned 10/18/2006
33bProvider typeOptometrist
28Total paid$429K
24GClaims9,861
24DCodes billed3
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#106 of 1,408
Median peer was paid$30K
This provider vs. median14×
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 | 15 | $1K | |
| 2019 | 46 | $3K | |
| 2020 | 448 | $19K | |
| 2021 | 2,439 | $102K | |
| 2022 | 2,559 | $114K | |
| 2023 | 2,506 | $112K | |
| 2024incomplete | 1,848 | $79K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 98% | 9,620 | 9,460 | $419K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 2.2% | 201 | 198 | $10K |
| 92015 | Determination of refractive state | <1% | 40 | 38 | $350.00 |
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.