Ramirez, Antonio
Ramirez, Antonio was paid $599K by Medicaid between Apr 2018 and Dec 2024, across 14 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 28% of everything it billed.
33Billing provider infoRAMIREZ, ANTONIO
MCALLEN, TX 78504
MCALLEN, TX 78504
33aNPI1972681401assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$599K
24GClaims26,460
24DCodes billed14
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#68 of 1,408
Median peer was paid$30K
This provider vs. median20×
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 | 75 | $2K | |
| 2019 | 126 | $4K | |
| 2020 | 1,122 | $25K | |
| 2021 | 6,991 | $152K | |
| 2022 | 7,355 | $174K | |
| 2023 | 6,589 | $150K | |
| 2024incomplete | 4,202 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 28% | 4,025 | 4,012 | $168K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 21% | 3,035 | 3,030 | $128K |
| V2020 | Frames, purchases | 14% | 3,807 | 3,792 | $83K |
| V2599 | Contact lens, other type | 8.4% | 623 | 621 | $50K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.1% | 3,375 | 1,961 | $43K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.2% | 1,520 | 889 | $19K |
| 92310 | 3.0% | 573 | 572 | $18K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.0% | 621 | 620 | $18K |
| V2755 | U-v lens, per lens | 2.7% | 3,618 | 3,599 | $16K |
| V2760 | Scratch resistant coating, per lens | 2.6% | 3,612 | 3,597 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.6% | 180 | 179 | $16K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.7% | 761 | 498 | $10K |
2 more codes
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.