Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Silva, Sonia

Silva, Sonia was paid $87K by Medicaid between Nov 2020 and Nov 2024, across 2 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 73% of everything it billed.

33Billing provider infoSILVA, SONIA
WESLACO, TX 78596
33aNPI1861503054assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$87K
24GClaims2,222
24DCodes billed2
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#433 of 1,408
Median peer was paid$30K
This provider vs. median2.9×

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

$0$2.0K$4.0K2018201920202021202220232024
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
202091$4K
2021599$26K
2022920$30K
2023440$19K
2024incomplete172$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 73% 1,617 1,483 $64K
S0620 Routine ophthalmological examination including refraction; new patient 27% 605 548 $23K

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.