Houston Optic, PLLC
Houston Optic, PLLC was paid $799K by Medicaid between Oct 2020 and Dec 2024, across 11 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 30% of everything it billed.
33Billing provider infoHOUSTON OPTIC, PLLC
HOUSTON, TX 77025
HOUSTON, TX 77025
33aNPI1558476788assigned 08/20/2006
33bProvider typeOptometrist
28Total paid$799K
24GClaims44,295
24DCodes billed11
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#51 of 1,408
Median peer was paid$30K
This provider vs. median26×
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 | 1,303 | $31K | |
| 2021 | 8,157 | $121K | |
| 2022 | 11,354 | $191K | |
| 2023 | 13,578 | $259K | |
| 2024incomplete | 9,903 | $197K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 30% | 7,122 | 6,017 | $240K |
| V2020 | Frames, purchases | 24% | 14,907 | 13,074 | $192K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 21% | 4,836 | 4,248 | $172K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 13% | 7,687 | 6,521 | $101K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.9% | 3,683 | 3,275 | $48K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.2% | 3,955 | 3,649 | $42K |
| V2025 | Deluxe frame | <1% | 122 | 112 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 90 | 87 | $1K |
| V2750 | Anti-reflective coating, per lens | <1% | 168 | 153 | $820.86 |
| 92015 | Determination of refractive state | <1% | 232 | 186 | $125.50 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 1,493 | 709 | $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.
From NPPES
Who's on the registration
Authorized officialMERKLE, THOMAS (CHIEF INFORMATION OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Hea Clinic PA | Houston, TX | $3.89M |
| Hea Clinic PA | Sugar Land, TX | $729K |
| Hea Clinic PA | Pearland, TX | $49K |
| Hea Gramercy Surgery Center, PLLC | Houston, TX | $28K |
| Hea Clinic, PA | League City, TX | $4K |
| Houston Optic, PLLC | Houston, TX | $0.00 |
| Houston Optic, PLLC | Houston, TX | $0.00 |
| Houston Optic, PLLC | Houston, TX | $0.00 |
| Houston Optic, PLLC | Kingwood, TX | $0.00 |
| Houston Optic, PLLC | Pasadena, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.