Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Austin Pediatric Ophthalmology and Strabismus PA

Austin Pediatric Ophthalmology and Strabismus PA was paid $1.62M by Medicaid between Jul 2020 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.

33Billing provider infoAUSTIN PEDIATRIC OPHTHALMOLOGY AND STRABISMUS PA
AUSTIN, TX 78759
33aNPI1770697088assigned 08/17/2006
33bProvider typeOphthalmology Physician
28Total paid$1.62M
24GClaims26,528
24DCodes billed11
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Texas

Rank by total paid#5 of 231
Median peer was paid$16K
This provider vs. median104×

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$20K$40K$60K2018201920202021202220232024
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
20201,447$83K
20217,068$424K
20225,950$376K
20236,008$392K
2024incomplete6,055$346K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 42% 7,225 6,889 $680K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26% 3,685 3,493 $419K
92060 13% 4,261 4,077 $212K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 11% 2,625 2,418 $172K
92015 Determination of refractive state 7.0% 7,592 7,222 $114K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 296 293 $7K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 300 250 $7K
V2020 Frames, purchases <1% 375 368 $6K
92002 <1% 57 55 $4K
V2750 Anti-reflective coating, per lens <1% 99 54 $877.43
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 13 13 $222.79

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 officialBUSSE, MEGYN (DOCTOR/OWNER)