Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ihlo, Heather

Ihlo, Heather was paid $52K by Medicaid between Nov 2022 and Dec 2024, across 8 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 41% of everything it billed.

33Billing provider infoIHLO, HEATHER
CENTER, TX 75935
33aNPI1871089540assigned 07/06/2018
33bProvider typeOptometrist
28Total paid$52K
24GClaims1,647
24DCodes billed8
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#565 of 1,408
Median peer was paid$30K
This provider vs. median1.7×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2022148$5K
2023797$27K
2024incomplete702$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 41% 376 357 $21K
V2020 Frames, purchases 26% 692 634 $13K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 17% 368 339 $9K
S0620 Routine ophthalmological examination including refraction; new patient 6.3% 63 56 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 6.2% 111 109 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.4% 12 12 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 12 12 $361.20
92015 Determination of refractive state <1% 13 13 $199.08

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.