Kavanagh, Jay
Kavanagh, Jay was paid $290K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoKAVANAGH, JAY
MADISON, TN 37115
MADISON, TN 37115
33aNPI1023144607assigned 02/26/2007
33bProvider typeOptometrist
28Total paid$290K
24GClaims9,973
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#95 of 698
Median peer was paid$19K
This provider vs. median15×
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 | 1,684 | $45K | |
| 2019 | 1,992 | $52K | |
| 2020 | 1,189 | $36K | |
| 2021 | 1,545 | $47K | |
| 2022 | 1,471 | $46K | |
| 2023 | 1,310 | $37K | |
| 2024incomplete | 782 | $27K |
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 | 44% | 4,873 | 4,803 | $126K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 25% | 852 | 838 | $72K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 1,508 | 1,482 | $47K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 10% | 342 | 342 | $30K |
| 92015 | Determination of refractive state | 5.0% | 2,398 | 2,361 | $14K |
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.