Clinic
Charles L. Heaton , M.D. P.A.
Charles L. Heaton , M.D. P.A. was paid $733K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoCHARLES L. HEATON , M.D. P.A.
TYLER, TX 75701
TYLER, TX 75701
33aNPI1528127172assigned 12/08/2006
33bProvider typeClinic/Center
28Total paid$733K
24GClaims20,166
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Texas
Rank by total paid#32 of 176
Median peer was paid$26K
This provider vs. median28×
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 | 1,185 | $26K | |
| 2019 | 956 | $22K | |
| 2020 | 1,628 | $52K | |
| 2021 | 5,972 | $243K | |
| 2022 | 4,255 | $158K | |
| 2023 | 2,532 | $95K | |
| 2024incomplete | 3,638 | $138K |
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 | 39% | 4,771 | 4,358 | $283K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 1,276 | 1,207 | $113K |
| 92015 | Determination of refractive state | 15% | 9,305 | 8,648 | $110K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 9.2% | 1,172 | 1,109 | $67K |
| 92060 | 8.5% | 1,316 | 1,259 | $62K | |
| 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 | 5.4% | 854 | 813 | $40K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 3.2% | 729 | 661 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 194 | 184 | $16K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.7% | 350 | 337 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 132 | 124 | $5K |
| 92134 | <1% | 67 | 63 | $1K |
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 officialHODGES-ODOM, JUDITH (CREDENTIALING SPECIALIST)