Prendergast, Edmund
Prendergast, Edmund was paid $143K by Medicaid between Jan 2018 and Jun 2022, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.
33Billing provider infoPRENDERGAST, EDMUND
SUMMERSVILLE, WV 26651
SUMMERSVILLE, WV 26651
33aNPI1134165251assigned 06/20/2006
33bProvider typeOptometrist
28Total paid$143K
24GClaims3,193
24DCodes billed5
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#49 of 115
Median peer was paid$82K
This provider vs. median1.7×
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 | 1,109 | $53K | |
| 2019 | 684 | $30K | |
| 2020 | 653 | $29K | |
| 2021 | 542 | $22K | |
| 2022 | 205 | $8K |
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 | 48% | 1,105 | 1,097 | $68K |
| V2020 | Frames, purchases | 23% | 552 | 546 | $34K |
| 92015 | Determination of refractive state | 14% | 1,142 | 1,126 | $20K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 379 | 376 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 15 | $1K |
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.