Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cantu, Rogelio

Cantu, Rogelio was paid $19K by Medicaid between Oct 2023 and Nov 2024, across 3 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 87% of everything it billed.

33Billing provider infoCANTU, ROGELIO
HARLINGEN, TX 78550
33aNPI1720020316assigned 06/11/2006
33bProvider typeOptometrist
28Total paid$19K
24GClaims321
24DCodes billed3
24AFirst – last monthOct 2023 – Nov 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#808 of 1,408
Median peer was paid$30K
This provider vs. median0.6×

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
202354$3K
2024incomplete267$16K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 87% 293 293 $17K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8.4% 16 16 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 4.4% 12 12 $843.87

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.