Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nisbet, Terry

Nisbet, Terry was paid $353K by Medicaid between Jun 2020 and Jun 2024, across 13 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 27% of everything it billed.

33Billing provider infoNISBET, TERRY
CINCINNATI, OH 45246
33aNPI1134107899assigned 01/04/2006
33bProvider typeOptometrist
28Total paid$353K
24GClaims19,684
24DCodes billed13
24AFirst – last monthJun 2020 – Jun 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#100 of 1,098
Median peer was paid$41K
This provider vs. median8.6×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
2020307$13K
20215,156$102K
20226,153$135K
20235,105$70K
2024incomplete2,963$33K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 27% 4,535 4,422 $94K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 2,455 2,392 $89K
V2020 Frames, purchases 19% 4,930 4,814 $66K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 17% 1,698 1,651 $60K
V2784 Lens, polycarbonate or equal, any index, per lens 10.0% 4,134 4,027 $35K
92310 1.9% 95 95 $7K
V2299 Specialty bifocal (by report) <1% 39 39 $1K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 49 49 $1K
V2782 Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens 0% 78 78 $0.00
V2744 Tint, photochromatic, per lens 0% 269 260 $0.00
V2781 Progressive lens, per lens 0% 39 39 $0.00
V2750 Anti-reflective coating, per lens 0% 1,183 1,164 $0.00
1 more codes
92015 Determination of refractive state 0% 180 $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.