Nicholson, Larry
Nicholson, Larry was paid $203K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoNICHOLSON, LARRY
HUNTINGDON, TN 38344
HUNTINGDON, TN 38344
33aNPI1053313338assigned 06/01/2005
33bProvider typeOptometrist
28Total paid$203K
24GClaims6,970
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#129 of 698
Median peer was paid$19K
This provider vs. median11×
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 | 1,672 | $57K | |
| 2019 | 2,141 | $74K | |
| 2020 | 1,744 | $61K | |
| 2021 | 303 | $3K | |
| 2022 | 398 | $4K | |
| 2023 | 428 | $2K | |
| 2024incomplete | 284 | $2K |
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 | 34% | 1,702 | 1,671 | $69K |
| 92250 | 28% | 1,647 | 1,582 | $57K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 802 | 790 | $45K |
| 92015 | Determination of refractive state | 8.7% | 979 | 971 | $18K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.9% | 749 | 737 | $14K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 42 | 39 | $392.79 |
| V2020 | Frames, purchases | <1% | 579 | 566 | $80.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 389 | 379 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 81 | 79 | $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.