Learned-Burton, Lori

Learned-Burton, Lori was paid $12K by Medicaid between Mar 2023 and Nov 2024, across 4 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 49% of everything it billed.

33Billing provider infoLEARNED-BURTON, LORI
COLUMBUS, TX 78934

33aNPI1609833995assigned 04/28/2006

33bProvider typeOphthalmology Physician

28Total paid$12K

24GClaims431

24DCodes billed4

24AFirst – last monthMar 2023 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#120 of 231

Median peer was paid$16K

This provider vs. median0.8×

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	288	$9K
2024incomplete	143	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S0621	Routine ophthalmological examination including refraction; established patient	49%	144	144	$6K
V2020	Frames, purchases	28%	214	214	$4K
S0620	Routine ophthalmological examination including refraction; new patient	21%	61	61	$3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1.9%	12	12	$238.74

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.