Shah Eye Center, P.A.
Shah Eye Center, P.A. was paid $3.01M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 27% of everything it billed.
33Billing provider infoSHAH EYE CENTER, P.A.
MISSION, TX 78572
MISSION, TX 78572
33aNPI1639114291assigned 06/18/2006
33bProvider typeOptometrist
28Total paid$3.01M
24GClaims86,995
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#5 of 1,408
Median peer was paid$30K
This provider vs. median99×
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 | 7,042 | $136K | |
| 2019 | 6,711 | $108K | |
| 2020 | 5,750 | $174K | |
| 2021 | 18,359 | $654K | |
| 2022 | 21,109 | $785K | |
| 2023 | 13,128 | $565K | |
| 2024incomplete | 14,896 | $590K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 27% | 20,119 | 19,457 | $828K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 21% | 14,988 | 14,569 | $623K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 11,290 | 11,061 | $418K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 4,369 | 4,296 | $347K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.5% | 7,336 | 7,312 | $227K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.3% | 7,289 | 6,636 | $189K |
| V2020 | Frames, purchases | 3.1% | 4,124 | 4,086 | $95K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.9% | 1,243 | 1,186 | $58K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.8% | 845 | 775 | $54K |
| 92015 | Determination of refractive state | 1.2% | 4,611 | 4,526 | $37K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,471 | 1,228 | $29K |
| 92250 | <1% | 1,316 | 1,289 | $20K |
20 more codes
| 99444 | <1% | 316 | $18K | |
| 92134 | <1% | 1,254 | $16K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 354 | $15K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 536 | $12K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 328 | $6K |
| 92133 | <1% | 291 | $4K | |
| 92083 | <1% | 297 | $4K | |
| 76519 | <1% | 477 | $4K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 48 | $2K |
| 66821 | <1% | 56 | $1K | |
| 92136 | <1% | 60 | $1K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 75 | $930.30 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 12 | $926.24 |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 24 | $585.94 |
| 92025 | <1% | 12 | $351.75 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 14 | $301.58 |
| 76514 | <1% | 27 | $236.38 | |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 13 | $162.94 |
| 2026F | 0% | 3,766 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 34 | $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 officialSHAH, PANKAJKUMAR (DOCTOR OWNER)