Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TX › San Marcos › NPI 1730714114

Med Southwest, PLLC

Med Southwest, PLLC was paid $13K by Medicaid between Jan 2021 and Mar 2024, across 3 billing codes. Its largest line is V2020, Frames, purchases — 62% of everything it billed.

33Billing provider infoMED SOUTHWEST, PLLC
SAN MARCOS, TX 78666
33aNPI1730714114assigned 03/06/2020
33bProvider typeOptometrist
28Total paid$13K
24GClaims312
24DCodes billed3
24AFirst – last monthJan 2021 – Mar 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#880 of 1,408
Median peer was paid$30K
This provider vs. median0.4×

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 DOWNES, SUE controls 20+ related entities in our dataset. Read more
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
2021112$5K
202275$3K
202388$3K
2024incomplete37$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 62% 181 95 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 24% 92 92 $3K
S0621 Routine ophthalmological examination including refraction; established patient 14% 39 39 $2K

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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

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