Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hensley, Sean

Hensley, Sean was paid $46K by Medicaid between Oct 2020 and Oct 2024, across 8 billing codes. Its largest line is V2020, Frames, purchases — 41% of everything it billed.

33Billing provider infoHENSLEY, SEAN
HUTTO, TX 78634
33aNPI1669706495assigned 09/26/2009
33bProvider typeOptometrist
28Total paid$46K
24GClaims1,874
24DCodes billed8
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#594 of 1,408
Median peer was paid$30K
This provider vs. median1.5×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2020190$5K
2021634$17K
2022434$10K
2023370$8K
2024incomplete246$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 41% 641 614 $19K
S0621 Routine ophthalmological examination including refraction; established patient 24% 263 261 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15% 361 350 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 10% 489 481 $5K
S0620 Routine ophthalmological examination including refraction; new patient 7.5% 81 80 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.0% 13 13 $465.84
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 14 13 $213.38
92015 Determination of refractive state <1% 12 12 $131.78

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.