Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hea Clinic PA

Hea Clinic PA was paid $49K by Medicaid between Jan 2020 and Aug 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 76% of everything it billed.

33Billing provider infoHEA CLINIC PA
PEARLAND, TX 77584
33aNPI1871825620assigned 02/04/2010
33bProvider typeOptometrist
28Total paid$49K
24GClaims809
24DCodes billed4
24AFirst – last monthJan 2020 – Aug 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#580 of 1,408
Median peer was paid$30K
This provider vs. median1.6×

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$4.0K$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
202050$3K
202285$4K
2023435$29K
2024incomplete239$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 76% 375 366 $37K
92060 14% 146 142 $7K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.0% 30 29 $2K
92015 Determination of refractive state 4.5% 258 249 $2K

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 officialMERKLE, THOMAS (CHIEF INFORMATION OFFICER)
Parent organizationHEA CLINIC PA
Same official

Other billing entities under MERKLE, THOMAS

Full network →
ProviderLocationPaid
Hea Clinic PAHouston, TX$3.89M
Houston Optic, PLLCHouston, TX$799K
Hea Clinic PASugar Land, TX$729K
Hea Gramercy Surgery Center, PLLCHouston, TX$28K
Hea Clinic, PALeague City, TX$4K
Houston Optic, PLLCHouston, TX$0.00
Houston Optic, PLLCHouston, TX$0.00
Houston Optic, PLLCHouston, TX$0.00
Houston Optic, PLLCKingwood, TX$0.00
Houston Optic, PLLCPasadena, TX$0.00

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