Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hayes, Spencer

Hayes, Spencer was paid $3K by Medicaid between Mar 2022 and Aug 2023, across 3 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 46% of everything it billed.

33Billing provider infoHAYES, SPENCER
DALLAS, TX 75390
33aNPI1952836728assigned 04/28/2017
28Total paid$3K
24GClaims58
24DCodes billed3
24AFirst – last monthMar 2022 – Aug 2023
Compared with peers

Next to other Student in an Organized Health Care Education/Training Program providers in Texas

Rank by total paid#53 of 103
Median peer was paid$3K
This provider vs. median1.0×

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$1.0K$2.0K2018201920202021202220232024
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
202212$629.40
202346$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 46% 28 26 $1K
S0620 Routine ophthalmological examination including refraction; new patient 33% 18 18 $1K
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 20% 12 12 $629.40

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.