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NPI 1194725366 · Houston, TX · Ophthalmology Physician
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Dora Cantu is a ophthalmology physician provider located in Houston, Texas. This profile covers 14 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Dora Cantu |
| Address | 1740 W 27th St Ste 180 |
| City | Houston |
| State | TX |
| ZIP | 77008 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | July 28, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $209.1K |
| Medicaid | $31.9K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
14 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 65778 | The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens. | 100 | $1,060 | $101.3K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 230 | $100 | $21.4K |
| 65779 | The provider places a single layer of amniotic membrane on the ocular surface, similar to the placement of a contact lens, and secures it with sutures. | 20 | $920 | $20.2K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 270 | $70 | $17.9K |
| 66821 | The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract. | 40 | $270 | $11.2K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 20 | $610 | $9.2K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 20 | $450 | $8.9K |
| 68326 | The provider performs a surgical repair of the conjunctiva at the location where the tissue covering the eyeball and the eyelid meet, using the patient’s own conjunctival tissue as a graft or by… | 20 | $290 | $5.3K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 40 | $110 | $4.9K |
| 92134 | The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes. | 90 | $30 | $2.9K |
Showing 1–10 of 14
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
14 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 66984 | 915 | 990 | 100 | $560 | $113.9K |
| 65778 | 20 | 100 | 30 | $1,040 | $63.3K |
| 66982 | 236 | 270 | 20 | $650 | $23.4K |
| 92014 | 823 | 2,700 | 100 | $80 | $21K |
| 65779 | 1 | 10 | 20 | $920 | $20.3K |
| 66821 | 398 | 700 | 50 | $230 | $20K |
| 68326 | 7 | 10 | 30 | $440 | $16.6K |
| 92012 | 357 | 1,690 | 80 | $60 | $10.9K |
| 92134 | 718 | 1,690 | 70 | $30 | $8.3K |
| 92004 | 930 | 2,070 | 40 | $90 | $6.1K |
Showing 1–10 of 14
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
12 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 110 | $100 | $11.6K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 120 | $40 | $5.2K |
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 50 | $90 | $4.8K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 110 | $40 | $4.6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 100 | $20 | $2K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 390 | $1 | $1.6K |
| V2025 | Deluxe frame | 50 | $20 | $1.1K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 20 | $60 | $1K |
| 1036F | N/A | 650 | $0 | $0 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 570 | $0 | $0 |
Showing 1–10 of 12
How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Texas median
12 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 92014 | An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group… | 565 | 750 | 240 | $60 | $68.4K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 342 | 630 | 140 | $90 | $56.7K |
| V2025 | Deluxe frame | 442 | 570 | 350 | $50 | $51K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 332 | 380 | 200 | $40 | $43.3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 679 | 1,020 | 290 | $40 | $39.2K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 695 | 1,150 | 210 | $40 | $25.1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 588 | 890 | 250 | $20 | $16.2K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 340 | 870 | 210 | $10 | $13.5K |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 288 | 860 | 220 | $1 | $30 |
| 1036F | N/A | 186 | 660 | 190 | $0 | $0 |
Showing 1–10 of 12
Other providers in the same ZIP code as Dora Cantu, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Memorial Hermann Health System | TX | General Acute Care Hospital | $0 | $84.4M |
| Kids Home Care Of Texas, Inc | TX | Home Health Agency | $0 | $33.7M |
| Valley View Primary Home Care | TX | Personal Care Attendant | $0 | $26.5M |
| Gene By Gene Ltd | TX | Clinical Medical Laboratory | $2.2M | $9.2M |
| Tejas Desai | TX | Dermatology Physician | $2.2M | $0 |
| Alpesh Desai | TX | Dermatology Physician | $1.8M | $0 |
| Heights Surgery Center, Inc. | TX | Ambulatory Surgical Clinic/Center | $664.2K | $0 |
| Wajeeha Yousaf | TX | Rheumatology Physician | $644.8K | $0 |
| Amit Sharma | TX | Vascular & Interventional Radiology Physician | $469.7K | $0 |
| Jeremy Bourgeois | TX | Physical Therapist | $266.9K | $0 |
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