Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Med Southwest, PLLC

Med Southwest, PLLC was paid $22K by Medicaid between Oct 2022 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 54% of everything it billed.

33Billing provider infoMED SOUTHWEST, PLLC
EDMOND, OK 73013
33aNPI1851923312assigned 02/12/2020
33bProvider typeOptometrist
28Total paid$22K
24GClaims658
24DCodes billed6
24AFirst – last monthOct 2022 – Nov 2024
Compared with peers

Next to other Optometrist providers in Oklahoma

Rank by total paid#236 of 336
Median peer was paid$113K
This provider vs. median0.2×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official DOWNES, SUE controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
202245$865.37
2023198$4K
2024incomplete415$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 54% 93 92 $12K
92015 Determination of refractive state 18% 231 228 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 14% 99 99 $3K
V2020 Frames, purchases 8.2% 181 180 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3.3% 28 28 $725.40
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.7% 26 26 $599.85

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 officialDOWNES, SUE (SECRETARY)
Same official

Other billing entities under DOWNES, SUE

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.