Peveler, Derek
Peveler, Derek was paid $482K by Medicaid between Jan 2018 and Dec 2020, across 23 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 19% of everything it billed.
33Billing provider infoPEVELER, DEREK
HENDERSONVILLE, TN 37075
HENDERSONVILLE, TN 37075
33aNPI1003104571assigned 07/18/2011
33bProvider typeOptometrist
28Total paid$482K
24GClaims13,419
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#52 of 698
Median peer was paid$19K
This provider vs. median25×
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 | 3,570 | $139K | |
| 2019 | 5,705 | $192K | |
| 2020 | 4,144 | $150K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 1,561 | 1,358 | $90K |
| 92015 | Determination of refractive state | 13% | 1,959 | 1,697 | $62K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 12% | 774 | 574 | $59K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 786 | 697 | $59K |
| 92060 | 11% | 1,570 | 1,527 | $53K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.5% | 1,718 | 1,490 | $46K |
| 92250 | 7.0% | 1,023 | 950 | $34K | |
| 95930 | 6.4% | 646 | 620 | $31K | |
| V2020 | Frames, purchases | 2.7% | 840 | 778 | $13K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.0% | 261 | 222 | $10K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 813 | 455 | $9K |
| 92065 | 1.1% | 167 | 90 | $5K |
11 more codes
| 92273 | <1% | 80 | $4K | |
| 92083 | <1% | 150 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 80 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 88 | $801.32 |
| 92275 | <1% | 12 | $497.96 | |
| 1036F | 0% | 321 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 416 | $0.00 |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 0% | 12 | $0.00 |
| G2104 | Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed | 0% | 49 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 65 | $0.00 |
| 2026F | 0% | 28 | $0.00 |
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.