Physician
Ophthalmology Specialists of Texas, PLLC
Ophthalmology Specialists of Texas, PLLC was paid $304K by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.
33Billing provider infoOPHTHALMOLOGY SPECIALISTS OF TEXAS, PLLC
ABILENE, TX 79606
ABILENE, TX 79606
33aNPI1902836166assigned 07/04/2006
33bProvider typeOphthalmology Physician
28Total paid$304K
24GClaims43,326
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Texas
Rank by total paid#29 of 231
Median peer was paid$16K
This provider vs. median19×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 1,477 | $33K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 53% | 5,650 | 5,438 | $160K |
| 92134 | 25% | 7,005 | 6,738 | $77K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 14% | 1,377 | 1,191 | $41K |
| J9035 | Injection, bevacizumab, 10 mg | 2.9% | 257 | 214 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.8% | 583 | 568 | $9K |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 1.2% | 14 | 13 | $4K |
| 92235 | <1% | 125 | 123 | $2K | |
| 92250 | <1% | 141 | 140 | $1K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | 12 | $484.33 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 6,008 | 5,549 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 3,409 | 3,132 | $0.00 |
| 5010F | 0% | 1,424 | 1,329 | $0.00 |
13 more codes
| G8482 | Influenza immunization administered or previously received | 0% | 1,010 | $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 | 0% | 451 | $0.00 |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 556 | $0.00 |
| 4040F | 0% | 1,286 | $0.00 | |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 420 | $0.00 |
| 2022F | 0% | 640 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 4,025 | $0.00 |
| 4177F | 0% | 467 | $0.00 | |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 2,057 | $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 | 0% | 1,485 | $0.00 |
| 1036F | 0% | 4,801 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 109 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 14 | $0.00 |
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 officialPATEL, SUNIL (OWNER/PHYSICIAN)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.