Balmer, Lori
Balmer, Lori was paid $18K by Medicaid between Jun 2018 and Aug 2022, across 6 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 23% of everything it billed.
33Billing provider infoBALMER, LORI
CLEVELAND, TN 37312
CLEVELAND, TN 37312
33aNPI1124062856assigned 06/15/2006
33bProvider typeOptometrist
28Total paid$18K
24GClaims709
24DCodes billed6
24AFirst – last monthJun 2018 – Aug 2022
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#356 of 698
Median peer was paid$19K
This provider vs. median0.9×
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 | 128 | $3K | |
| 2019 | 188 | $4K | |
| 2020 | 215 | $6K | |
| 2021 | 114 | $3K | |
| 2022 | 64 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 147 | 146 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 19% | 79 | 79 | $3K |
| V2020 | Frames, purchases | 18% | 187 | 177 | $3K |
| 92015 | Determination of refractive state | 15% | 137 | 135 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 37 | 36 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 122 | 98 | $2K |
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.