Cox, Adam
Cox, Adam was paid $169K by Medicaid between Nov 2020 and Dec 2024, across 11 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 51% of everything it billed.
33Billing provider infoCOX, ADAM
ATLANTA, TX 75551
ATLANTA, TX 75551
33aNPI1770838401assigned 07/18/2012
33bProvider typeOptometrist
28Total paid$169K
24GClaims4,827
24DCodes billed11
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#263 of 1,408
Median peer was paid$30K
This provider vs. median5.6×
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
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 | |
|---|---|---|---|
| 2020 | 48 | $923.40 | |
| 2021 | 583 | $15K | |
| 2022 | 577 | $24K | |
| 2023 | 1,925 | $69K | |
| 2024incomplete | 1,694 | $60K |
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 | 51% | 1,312 | 1,218 | $86K |
| V2025 | Deluxe frame | 10% | 403 | 398 | $17K |
| V2020 | Frames, purchases | 9.4% | 892 | 874 | $16K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 8.9% | 331 | 324 | $15K |
| 92015 | Determination of refractive state | 6.2% | 670 | 668 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.3% | 431 | 406 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.5% | 380 | 351 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.5% | 335 | 329 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 46 | 46 | $3K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 14 | 14 | $562.50 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 13 | 12 | $222.24 |
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.