Medicaid Provider Spending

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

CHARLES L. HEATON , M.D. P.A.

NPI: 1528127172 · TYLER, TX 75701 · Clinic/Center · NPI assigned 12/08/2006

$733K
Total Medicaid Paid
20,166
Total Claims
18,763
Beneficiaries
11
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialHODGES-ODOM, JUDITH (CREDENTIALING SPECIALIST)
NPI Enumeration Date12/08/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,185 $26K
2019 956 $22K
2020 1,628 $52K
2021 5,972 $243K
2022 4,255 $158K
2023 2,532 $95K
2024 3,638 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4,771 4,358 $283K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1,276 1,207 $113K
92015 Determination of refractive state 9,305 8,648 $110K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1,172 1,109 $67K
92060 1,316 1,259 $62K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 854 813 $40K
S0621 Routine ophthalmological examination including refraction; established patient 729 661 $24K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 194 184 $16K
S0620 Routine ophthalmological examination including refraction; new patient 350 337 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 132 124 $5K
92134 67 63 $1K