Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vorster, Edward

Vorster, Edward was paid $56K by Medicaid between Oct 2020 and Jun 2022, across 5 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 36% of everything it billed.

33Billing provider infoVORSTER, EDWARD
SILSBEE, TX 77656
33aNPI1982870846assigned 05/01/2008
33bProvider typeOptometrist
28Total paid$56K
24GClaims2,305
24DCodes billed5
24AFirst – last monthOct 2020 – Jun 2022
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#546 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
2020238$6K
20211,601$42K
2022466$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 36% 554 525 $20K
S0620 Routine ophthalmological examination including refraction; new patient 28% 412 402 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 19% 594 549 $10K
V2020 Frames, purchases 17% 701 643 $9K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 44 39 $489.00

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.