Clinic
Hometown Ophthalmology LLC
Hometown Ophthalmology LLC was paid $17K by Medicaid between May 2022 and Oct 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 69% of everything it billed.
33Billing provider infoHOMETOWN OPHTHALMOLOGY LLC
EVANSVILLE, IN 47714
EVANSVILLE, IN 47714
33aNPI1053990531assigned 04/03/2021
33bProvider typeOphthalmologic Surgery Clinic/Center
28Total paid$17K
24GClaims601
24DCodes billed4
24AFirst – last monthMay 2022 – Oct 2024
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 | |
|---|---|---|---|
| 2022 | 127 | $4K | |
| 2023 | 266 | $7K | |
| 2024incomplete | 208 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 69% | 280 | 220 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 88 | 68 | $3K |
| 92015 | Determination of refractive state | 11% | 218 | 180 | $2K |
| 92134 | 1.2% | 15 | 12 | $199.77 |
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.
From NPPES
Who's on the registration
Authorized officialPRIMUS, SALLY (OWNER, PROVIDER)