Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Carter, John

Carter, John was paid $55K by Medicaid between Nov 2020 and Dec 2024, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 35% of everything it billed.

33Billing provider infoCARTER, JOHN
BONHAM, TX 75418
33aNPI1912977877assigned 01/24/2006
33bProvider typeOptometrist
28Total paid$55K
24GClaims2,042
24DCodes billed6
24AFirst – last monthNov 2020 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#549 of 1,408
Median peer was paid$30K
This provider vs. median1.8×

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
202019$403.00
2021530$15K
2022427$12K
2023742$19K
2024incomplete324$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 35% 463 445 $19K
V2020 Frames, purchases 34% 1,035 1,018 $19K
S0620 Routine ophthalmological examination including refraction; new patient 18% 253 241 $10K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5.4% 110 109 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.3% 97 97 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 3.1% 84 82 $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.