Martinez, Lora
Martinez, Lora was paid $243K by Medicaid between Jan 2023 and Dec 2024, across 14 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 24% of everything it billed.
33Billing provider infoMARTINEZ, LORA
MERCEDES, TX 78570
MERCEDES, TX 78570
33aNPI1770696593assigned 08/16/2006
33bProvider typeOptometrist
28Total paid$243K
24GClaims7,059
24DCodes billed14
24AFirst – last monthJan 2023 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#190 of 1,408
Median peer was paid$30K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2023 | 3,155 | $111K | |
| 2024incomplete | 3,904 | $131K |
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 | 24% | 888 | 851 | $57K |
| V2025 | Deluxe frame | 20% | 896 | 891 | $48K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 221 | 221 | $27K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 11% | 619 | 617 | $27K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 10% | 1,124 | 1,088 | $25K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.4% | 1,308 | 1,255 | $23K |
| V2020 | Frames, purchases | 7.6% | 1,086 | 1,061 | $18K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.6% | 396 | 390 | $6K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.2% | 327 | 314 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.2% | 67 | 67 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 25 | 25 | $3K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 29 | 28 | $435.90 |
2 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.