Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Medical Center Ophthalmology Associates

Medical Center Ophthalmology Associates was paid $683K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.

33Billing provider infoMEDICAL CENTER OPHTHALMOLOGY ASSOCIATES
SAN ANTONIO, TX 78240
33aNPI1659376226assigned 06/20/2005
33bProvider typeOptometrist
28Total paid$683K
24GClaims19,675
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#62 of 1,408
Median peer was paid$30K
This provider vs. median22×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DAVIS, CANDICE controls 15+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
20181,573$22K
20191,176$20K
20201,539$43K
20214,863$180K
20225,404$167K
20232,976$138K
2024incomplete2,144$112K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 35% 4,513 4,046 $237K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 26% 4,902 4,206 $175K
92060 15% 3,137 2,556 $105K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 11% 1,091 950 $77K
92015 Determination of refractive state 5.6% 3,633 3,148 $38K
S0621 Routine ophthalmological examination including refraction; established patient 2.8% 618 525 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.2% 145 143 $8K
V2020 Frames, purchases <1% 383 346 $6K
92133 <1% 358 351 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 308 280 $4K
92134 <1% 187 170 $2K
S0620 Routine ophthalmological examination including refraction; new patient <1% 48 45 $2K
5 more codes
67028 Intravitreal injection of a pharmacologic agent <1% 68 $1K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 60 $1K
92083 <1% 77 $579.89
76514 <1% 117 $276.21
92020 <1% 30 $27.60

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 officialDAVIS, CANDICE (CHIEF REVENUE CYCLE OFFICER)
Same official

Other billing entities under DAVIS, CANDICE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.