Mcgough, John
Mcgough, John was paid $293K by Medicaid between Oct 2020 and Oct 2024, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 28% of everything it billed.
33Billing provider infoMCGOUGH, JOHN
TYLER, TX 75703
TYLER, TX 75703
33aNPI1780769802assigned 10/26/2006
33bProvider typeOptometrist
28Total paid$293K
24GClaims10,331
24DCodes billed11
24AFirst – last monthOct 2020 – Oct 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#165 of 1,408
Median peer was paid$30K
This provider vs. median9.6×
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 | 235 | $7K | |
| 2021 | 1,075 | $29K | |
| 2022 | 971 | $26K | |
| 2023 | 5,017 | $143K | |
| 2024incomplete | 3,033 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 28% | 1,940 | 1,918 | $81K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 28% | 1,904 | 1,888 | $81K |
| V2020 | Frames, purchases | 21% | 3,078 | 3,032 | $60K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.6% | 1,264 | 1,252 | $28K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.4% | 922 | 917 | $22K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.4% | 764 | 759 | $13K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.0% | 299 | 295 | $6K |
| V2750 | Anti-reflective coating, per lens | <1% | 115 | 115 | $2K |
| S0500 | Disposable contact lens, per lens | <1% | 19 | 18 | $696.00 |
| V2760 | Scratch resistant coating, per lens | <1% | 13 | 13 | $189.00 |
| V2799 | Vision item or service, miscellaneous | <1% | 13 | 13 | $95.00 |
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.