Hea Clinic, PA
Hea Clinic, PA was paid $4K by Medicaid between Nov 2022 and Jan 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 97% of everything it billed.
33Billing provider infoHEA CLINIC, PA
LEAGUE CITY, TX 77573
LEAGUE CITY, TX 77573
33aNPI1790022119assigned 01/04/2013
33bProvider typeOptometrist
28Total paid$4K
24GClaims51
24DCodes billed2
24AFirst – last monthNov 2022 – Jan 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#1,065 of 1,408
Median peer was paid$30K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 12 | $886.80 | |
| 2023 | 27 | $3K | |
| 2024incomplete | 12 | $100.11 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 97% | 39 | 38 | $4K |
| 92015 | Determination of refractive state | 2.7% | 12 | 12 | $100.11 |
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 officialMERKLE, THOMAS (CHIEF INFORMATION OFFICER)
Parent organizationHEA CLINIC, PA
| Provider | Location | Paid |
|---|---|---|
| Hea Clinic PA | Houston, TX | $3.89M |
| Houston Optic, PLLC | Houston, TX | $799K |
| Hea Clinic PA | Sugar Land, TX | $729K |
| Hea Clinic PA | Pearland, TX | $49K |
| Hea Gramercy Surgery Center, PLLC | Houston, TX | $28K |
| Houston Optic, PLLC | Houston, TX | $0.00 |
| Houston Optic, PLLC | Houston, TX | $0.00 |
| Houston Optic, PLLC | Houston, TX | $0.00 |
| Houston Optic, PLLC | Kingwood, TX | $0.00 |
| Houston Optic, PLLC | Pasadena, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.