Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MED SOUTHWEST, PLLC

NPI: 1871059170 · TEXARKANA, TX 75503 · Optometrist · NPI assigned 02/12/2019

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOWNS, SUE controls 20+ related entities in our dataset. Read more

$870K
Total Medicaid Paid
60,063
Total Claims
45,868
Beneficiaries
11
Codes Billed
2021-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOWNS, SUE (SECRETARY)
NPI Enumeration Date02/12/2019

Related Entities

Other providers sharing the same authorized official: DOWNS, SUE

ProviderCityStateTotal Paid
MYEYEDR OPTOMETRY OF INDIANA, LLC ANDERSON IN $1.29M
MYEYEDR OPTOMETRY OF INDIANA, LLC SOUTH BEND IN $1.24M
MYEYEDR OPTOMETRY OF INDIANA, LLC MISHAWAKA IN $927K
MYEYEDR OPTOMETRY OF INDIANA, LLC ELKHART IN $826K
MYEYEDR OPTOMETRY OF INDIANA, LLC MERRILLVILLE IN $814K
MYEYEDR OPTOMETRY OF INDIANA, LLC MICHIGAN CITY IN $585K
MYEYEDR OPTOMETRY OF INDIANA, LLC LAFAYETTE IN $537K
MYEYEDR OPTOMETRY OF INDIANA, LLC SPENCER IN $486K
MYEYEDR OPTOMETRY OF INDIANA, LLC LEBANON IN $400K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $397K
MED SOUTHWEST, PLLC BROKEN BOW OK $396K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $371K
MED SOUTHWEST PLLC IDABEL OK $365K
MYEYEDR OPTOMETRY OF ALABAMA LLC MONTGOMERY AL $348K
MED SOUTHWEST, PLLC HOPE AR $257K
MYEYEDR OPTOMETRY OF ALABAMA LLC TRUSSVILLE AL $256K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $226K
MYEYEDR OPTOMETRY OF ALABAMA LLC HUNTSVILLE AL $204K
MYEYEDR OPTOMETRY OF ALABAMA LLC BIRMINGHAM AL $178K
MYEYEDR OPTOMETRY OF INDIANA, LLC ZIONSVILLE IN $175K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 6,670 $99K
2022 27,371 $390K
2023 16,797 $243K
2024 9,225 $138K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
S0620 Routine ophthalmological examination including refraction; new patient 8,091 6,918 $238K
S0621 Routine ophthalmological examination including refraction; established patient 7,909 6,570 $217K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 22,087 13,876 $183K
V2020 Frames, purchases 8,797 7,456 $92K
V2784 Lens, polycarbonate or equal, any index, per lens 10,280 8,573 $91K
V2025 Deluxe frame 2,607 2,260 $47K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 110 64 $633.18
92250 12 12 $327.54
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14 14 $18.75
92015 Determination of refractive state 144 113 $0.00
92340 Fitting of spectacles, except for aphakia; monofocal 12 12 $0.00