Mai, Kelly
Mai, Kelly was paid $23K by Medicaid between Nov 2020 and Aug 2024, across 7 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 46% of everything it billed.
33Billing provider infoMAI, KELLY
CYPRESS, TX 77433
CYPRESS, TX 77433
33aNPI1487742086assigned 10/10/2006
33bProvider typeOptometrist
28Total paid$23K
24GClaims896
24DCodes billed7
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#760 of 1,408
Median peer was paid$30K
This provider vs. median0.8×
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 | 24 | $484.75 | |
| 2021 | 533 | $14K | |
| 2022 | 133 | $4K | |
| 2023 | 142 | $4K | |
| 2024incomplete | 64 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 46% | 266 | 261 | $11K |
| V2025 | Deluxe frame | 22% | 196 | 192 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 20% | 272 | 265 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.9% | 89 | 89 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 5.4% | 30 | 30 | $1K |
| V2750 | Anti-reflective coating, per lens | 1.3% | 31 | 30 | $310.55 |
| 92015 | Determination of refractive state | <1% | 12 | 12 | $10.00 |
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.