Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cook, Billy

Cook, Billy was paid $179K by Medicaid between Nov 2020 and Nov 2024, across 9 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 33% of everything it billed.

33Billing provider infoCOOK, BILLY
MIDLAND, TX 79707
33aNPI1629060199assigned 08/19/2005
33bProvider typeOptometrist
28Total paid$179K
24GClaims6,647
24DCodes billed9
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#252 of 1,408
Median peer was paid$30K
This provider vs. median5.9×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2020431$12K
20212,620$72K
20221,919$52K
20231,210$32K
2024incomplete467$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 33% 1,379 1,362 $59K
S0621 Routine ophthalmological examination including refraction; established patient 24% 1,024 1,017 $43K
V2020 Frames, purchases 21% 2,252 2,169 $37K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 11% 1,077 1,039 $20K
V2784 Lens, polycarbonate or equal, any index, per lens 10% 785 753 $19K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 30 27 $480.12
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 18 14 $294.08
92015 Determination of refractive state <1% 57 57 $15.50
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 0% 25 25 $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.