Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nelson, Steven

Nelson, Steven was paid $357K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92015, Determination of refractive state — 36% of everything it billed.

33Billing provider infoNELSON, STEVEN
PORTLAND, TX 78374
33aNPI1861527046assigned 02/21/2007
33bProvider typeOptometrist
28Total paid$357K
24GClaims13,026
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#131 of 1,408
Median peer was paid$30K
This provider vs. median12×

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$10K$20K2018201920202021202220232024
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
2018281$5K
202038$1K
20213,167$89K
20223,211$92K
20233,083$88K
2024incomplete3,246$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 36% 8,377 8,314 $130K
S0620 Routine ophthalmological examination including refraction; new patient 25% 1,470 1,467 $91K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 23% 1,436 1,428 $81K
V2025 Deluxe frame 14% 1,472 1,469 $49K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 73 53 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 15 15 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 26 19 $844.52
V2207 Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens <1% 15 15 $803.66
92275 <1% 27 17 $694.60
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 40 22 $532.98
92250 <1% 40 25 $481.63
92020 <1% 35 23 $121.77

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.