DJMJ PLLC
DJMJ PLLC was paid $1.02M by Medicaid between Feb 2018 and Nov 2024, across 15 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 17% of everything it billed.
33Billing provider infoDJMJ PLLC
MERCEDES, TX 78570
MERCEDES, TX 78570
33aNPI1740424266assigned 04/28/2009
33bProvider typeOptometrist
28Total paid$1.02M
24GClaims32,625
24DCodes billed15
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#37 of 1,408
Median peer was paid$30K
This provider vs. median34×
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 | 91 | $3K | |
| 2019 | 141 | $5K | |
| 2020 | 2,450 | $76K | |
| 2021 | 9,863 | $312K | |
| 2022 | 10,617 | $334K | |
| 2023 | 6,046 | $182K | |
| 2024incomplete | 3,417 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 17% | 3,239 | 2,997 | $170K |
| V2025 | Deluxe frame | 16% | 3,373 | 3,268 | $160K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 14% | 3,391 | 3,300 | $143K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 14% | 4,736 | 4,408 | $138K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 1,301 | 1,243 | $127K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.3% | 5,637 | 5,367 | $95K |
| V2020 | Frames, purchases | 8.2% | 5,861 | 5,646 | $84K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.8% | 2,426 | 2,336 | $38K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.4% | 1,394 | 1,288 | $25K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.9% | 473 | 460 | $20K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 451 | 429 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 80 | 73 | $6K |
3 more codes
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 officialMARTINEZ, LORA (OPTOMETRIST/PRESIDENT)