Physician
Cooper, Tom
Cooper, Tom was paid $176K by Medicaid between Jan 2018 and Aug 2022, across 8 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 32% of everything it billed.
33Billing provider infoCOOPER, TOM
CLARKSDALE, MS 38614
CLARKSDALE, MS 38614
33aNPI1013013648assigned 09/14/2006
33bProvider typeOphthalmology Physician
28Total paid$176K
24GClaims5,200
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Ophthalmology Physician providers in Mississippi
Rank by total paid#16 of 75
Median peer was paid$24K
This provider vs. median7.4×
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 | 1,290 | $42K | |
| 2019 | 1,294 | $44K | |
| 2020 | 1,466 | $50K | |
| 2021 | 658 | $23K | |
| 2022 | 492 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 32% | 814 | 797 | $56K |
| V2020 | Frames, purchases | 26% | 1,292 | 1,264 | $45K |
| 92015 | Determination of refractive state | 15% | 1,216 | 1,186 | $26K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 1,103 | 1,070 | $18K |
| 92002 | 9.1% | 246 | 239 | $16K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.4% | 428 | 413 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.5% | 89 | 87 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $322.75 |
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.