Mabatah, Augustine

Mabatah, Augustine was paid $559K by Medicaid between Jan 2018 and Jan 2024, across 10 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 33% of everything it billed.

33Billing provider infoMABATAH, AUGUSTINE
HOUSTON, TX 77028

33aNPI1508968017assigned 09/04/2006

33bProvider typeOphthalmology Physician

28Total paid$559K

24GClaims14,772

24DCodes billed10

24AFirst – last monthJan 2018 – Jan 2024

Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#20 of 231

Median peer was paid$16K

This provider vs. median36×

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	474	$12K
2019	324	$10K
2020	912	$50K
2021	3,917	$208K
2022	4,189	$113K
2023	4,843	$159K
2024incomplete	113	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	33%	3,080	2,856	$183K
S0620	Routine ophthalmological examination including refraction; new patient	22%	3,098	2,856	$124K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	11%	3,084	2,889	$63K
V2020	Frames, purchases	10%	3,632	3,406	$57K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	9.8%	582	562	$55K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	9.2%	692	688	$51K
S0621	Routine ophthalmological examination including refraction; established patient	3.7%	450	447	$20K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1.0%	123	121	$6K
99334		<1%	17	17	$138.57
3072F		0%	14	14	$0.00

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.