Guthery, Phillip
Guthery, Phillip was paid $19K by Medicaid between Jul 2018 and Jan 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 27% of everything it billed.
33Billing provider infoGUTHERY, PHILLIP
CULLMAN, AL 35055
CULLMAN, AL 35055
33aNPI1023001278assigned 08/23/2005
33bProvider typeOptometrist
28Total paid$19K
24GClaims1,157
24DCodes billed7
24AFirst – last monthJul 2018 – Jan 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#218 of 346
Median peer was paid$59K
This provider vs. median0.3×
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 | 51 | $952.00 | |
| 2019 | 139 | $3K | |
| 2020 | 141 | $3K | |
| 2021 | 294 | $6K | |
| 2022 | 199 | $2K | |
| 2023 | 317 | $5K | |
| 2024incomplete | 16 | $199.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 27% | 347 | 333 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 26% | 304 | 291 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 58 | 56 | $4K |
| 92015 | Determination of refractive state | 14% | 336 | 322 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.8% | 24 | 24 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.2% | 44 | 25 | $417.19 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.7% | 44 | 25 | $335.40 |
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.