Tom, Dan
Tom, Dan was paid $23K by Medicaid between Nov 2020 and Aug 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 34% of everything it billed.
33Billing provider infoTOM, DAN
FRIENDSWOOD, TX 77546
FRIENDSWOOD, TX 77546
33aNPI1801931647assigned 02/20/2007
33bProvider typeOptometrist
28Total paid$23K
24GClaims1,062
24DCodes billed5
24AFirst – last monthNov 2020 – Aug 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#767 of 1,408
Median peer was paid$30K
This provider vs. median0.8×
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 | 19 | $288.54 | |
| 2021 | 398 | $8K | |
| 2022 | 256 | $5K | |
| 2023 | 221 | $5K | |
| 2024incomplete | 168 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 34% | 533 | 515 | $8K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 27% | 150 | 149 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 19% | 216 | 213 | $4K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 15% | 83 | 83 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.4% | 80 | 80 | $1K |
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.