Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sanchez, Arturo

Sanchez, Arturo was paid $104K by Medicaid between Mar 2023 and Dec 2024, across 6 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 41% of everything it billed.

33Billing provider infoSANCHEZ, ARTURO
MISSION, TX 78572
33aNPI1932870383assigned 09/24/2021
33bProvider typeOptometrist
28Total paid$104K
24GClaims2,165
24DCodes billed6
24AFirst – last monthMar 2023 – Dec 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#382 of 1,408
Median peer was paid$30K
This provider vs. median3.4×

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$5.0K$10K2018201920202021202220232024
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
20231,053$54K
2024incomplete1,112$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 41% 999 998 $42K
S0620 Routine ophthalmological examination including refraction; new patient 37% 904 904 $38K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 123 123 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 8.5% 75 75 $9K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.8% 27 27 $2K
92015 Determination of refractive state <1% 37 37 $580.62

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.