Gatten, Ernest
Gatten, Ernest was paid $18K by Medicaid between Jan 2018 and Aug 2018, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.
33Billing provider infoGATTEN, ERNEST
FRANKLIN, VA 23851
FRANKLIN, VA 23851
33aNPI1114958360assigned 07/06/2006
33bProvider typeOptometrist
28Total paid$18K
24GClaims358
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2018
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#265 of 491
Median peer was paid$23K
This provider vs. median0.8×
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 | 358 | $18K |
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 | 67% | 200 | 169 | $12K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 22% | 69 | 69 | $4K |
| V2025 | Deluxe frame | 9.7% | 56 | 56 | $2K |
| V2020 | Frames, purchases | 1.8% | 21 | 19 | $325.92 |
| 92015 | Determination of refractive state | 0% | 12 | 12 | $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.