Medicaid Provider Spending

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

OPHTHALMOLOGY SPECIALISTS OF TEXAS, PLLC

NPI: 1902836166 · ABILENE, TX 79606 · Ophthalmology Physician · NPI assigned 07/04/2006

$304K
Total Medicaid Paid
43,326
Total Claims
40,565
Beneficiaries
25
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPATEL, SUNIL (OWNER/PHYSICIAN)
NPI Enumeration Date07/04/2006

Related Entities

Other providers sharing the same authorized official: PATEL, SUNIL

ProviderCityStateTotal Paid
ISELIN ADULT DAY CARE CENTER LLC ISELIN NJ $12.59M
OCEAN HEART INC. MAPLEWOOD NJ $4.18M
SUNIL PATEL, D.O., INC. APPLE VALLEY CA $199K
PREMIERCARE PHYSICIANS A CALIFORNIA GENERAL PARTNERSHIP TRACY CA $137K
INNOVATIVE ANESTHESIA CLARKSVILLE MD $11K
DIGESTIVE DISEASE CONSULTANTS PC STATEN ISLAND NY $3K
KOKILA PATEL LAKEWOOD WA $1K
ABILENE SURGERY CENTER, LLC ABILENE TX $0.00
AMA PHARMACY INC HAYWARD CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,141 $25K
2019 10,711 $23K
2020 7,018 $34K
2021 9,701 $99K
2022 4,689 $50K
2023 1,589 $40K
2024 1,477 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5,650 5,438 $160K
92134 7,005 6,738 $77K
67028 Intravitreal injection of a pharmacologic agent 1,377 1,191 $41K
J9035 Injection, bevacizumab, 10 mg 257 214 $9K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 583 568 $9K
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg 14 13 $4K
92235 125 123 $2K
92250 141 140 $1K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 12 12 $484.33
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 6,008 5,549 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 3,409 3,132 $0.00
5010F 1,424 1,329 $0.00
G8482 Influenza immunization administered or previously received 1,010 957 $0.00
G9974 Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity 451 423 $0.00
G8753 Most recent systolic blood pressure >= 140 mmhg 556 523 $0.00
4040F 1,286 1,195 $0.00
G8752 Most recent systolic blood pressure < 140 mmhg 420 395 $0.00
2022F 640 593 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 4,025 3,724 $0.00
4177F 467 436 $0.00
G8754 Most recent diastolic blood pressure < 90 mmhg 2,057 1,933 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 1,485 1,387 $0.00
1036F 4,801 4,438 $0.00
G8952 Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given 109 100 $0.00
G9902 Patient screened for tobacco use and identified as a tobacco user 14 14 $0.00