Alcantar, Salvador
Alcantar, Salvador was paid $160K by Medicaid between Mar 2023 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.
33Billing provider infoALCANTAR, SALVADOR
MISSION, TX 78572
MISSION, TX 78572
33aNPI1578509287assigned 06/21/2006
33bProvider typeOptometrist
28Total paid$160K
24GClaims2,688
24DCodes billed6
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#276 of 1,408
Median peer was paid$30K
This provider vs. median5.3×
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 | |
|---|---|---|---|
| 2023 | 1,106 | $67K | |
| 2024incomplete | 1,582 | $93K |
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 | 29% | 375 | 375 | $46K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 25% | 938 | 938 | $40K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 25% | 945 | 944 | $40K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 172 | 172 | $17K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 9.4% | 213 | 206 | $15K |
| 92015 | Determination of refractive state | <1% | 45 | 45 | $711.64 |
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.