Pendel, Holly
Pendel, Holly was paid $227K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoPENDEL, HOLLY
LIVINGSTON, TN 38570
LIVINGSTON, TN 38570
33aNPI1134672629assigned 08/01/2016
33bProvider typeOptometrist
28Total paid$227K
24GClaims6,658
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#118 of 698
Median peer was paid$19K
This provider vs. median12×
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 | 3,945 | $143K | |
| 2019 | 2,187 | $81K | |
| 2022 | 128 | $543.00 | |
| 2023 | 192 | $2K | |
| 2024incomplete | 206 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 36% | 920 | 896 | $81K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 647 | 627 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 1,084 | 1,073 | $33K |
| V2020 | Frames, purchases | 12% | 1,077 | 1,062 | $27K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 471 | 428 | $17K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.1% | 382 | 378 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.1% | 400 | 397 | $7K |
| 92015 | Determination of refractive state | 1.9% | 449 | 428 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 645 | 639 | $4K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.1% | 38 | 37 | $3K |
| V2760 | Scratch resistant coating, per lens | <1% | 517 | 514 | $1K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 28 | 28 | $549.40 |
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.