Cauley, Stephen
Cauley, Stephen was paid $11.93M by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is V2020, Frames, purchases — 29% of everything it billed.
33Billing provider infoCAULEY, STEPHEN
STATESBORO, GA 30458
STATESBORO, GA 30458
33aNPI1124080080assigned 04/05/2006
33bProvider typeOptometrist
28Total paid$11.93M
24GClaims601,736
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Georgia
Rank by total paid#2 of 71
Median peer was paid$10K
This provider vs. median1,153×
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 | 50,412 | $1.29M | |
| 2019 | 64,587 | $1.59M | |
| 2020 | 51,091 | $1.19M | |
| 2021 | 91,867 | $1.70M | |
| 2022 | 127,111 | $2.22M | |
| 2023 | 119,048 | $2.14M | |
| 2024incomplete | 97,620 | $1.80M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 29% | 157,387 | 155,737 | $3.48M |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24% | 150,379 | 148,853 | $2.84M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 46,364 | 43,593 | $1.68M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 32,110 | 29,889 | $1.23M |
| S0621 | Routine ophthalmological examination including refraction; established patient | 9.7% | 29,772 | 29,681 | $1.16M |
| S0620 | Routine ophthalmological examination including refraction; new patient | 5.0% | 15,441 | 15,365 | $593K |
| 92015 | Determination of refractive state | 4.2% | 76,765 | 74,967 | $500K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.0% | 65,031 | 64,177 | $356K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,890 | 1,871 | $58K |
| V2750 | Anti-reflective coating, per lens | <1% | 25,630 | 25,254 | $22K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 394 | 382 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 43 | 42 | $1K |
13 more codes
| 92310 | <1% | 24 | $872.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 25 | $743.12 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 24 | $495.00 |
| 92002 | <1% | 14 | $438.56 | |
| 92250 | <1% | 43 | $231.58 | |
| V2799 | Vision item or service, miscellaneous | <1% | 169 | $30.00 |
| 1036F | 0% | 41 | $0.00 | |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 14 | $0.00 |
| V2715 | Prism, per lens | 0% | 13 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 40 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 57 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 26 | $0.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 40 | $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.