Physician
William E Sponsel, M.D. PA
William E Sponsel, M.D. PA was paid $225K by Medicaid between May 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.
33Billing provider infoWILLIAM E SPONSEL, M.D. PA
SAN ANTONIO, TX 78233
SAN ANTONIO, TX 78233
33aNPI1568600534assigned 01/29/2009
33bProvider typeOphthalmology Physician
28Total paid$225K
24GClaims4,854
24DCodes billed10
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#36 of 231
Median peer was paid$16K
This provider vs. median14×
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 | 51 | $344.03 | |
| 2020 | 62 | $1K | |
| 2021 | 323 | $14K | |
| 2022 | 392 | $13K | |
| 2023 | 2,006 | $91K | |
| 2024incomplete | 2,020 | $105K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 41% | 925 | 870 | $93K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 23% | 1,135 | 1,003 | $51K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 639 | 612 | $44K |
| 92083 | 9.4% | 717 | 668 | $21K | |
| 92015 | Determination of refractive state | 5.2% | 881 | 834 | $12K |
| 92250 | 1.5% | 72 | 68 | $3K | |
| 92133 | <1% | 37 | 37 | $944.15 | |
| 1036F | 0% | 189 | 173 | $0.00 | |
| G9459 | Currently a tobacco non-user | 0% | 63 | 61 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 196 | 180 | $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 officialSPONSEL, WILLIAM (OWNER)