King, James
King, James was paid $92K by Medicaid between Jan 2018 and Mar 2022, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoKING, JAMES
WAVERLY, TN 37185
WAVERLY, TN 37185
33aNPI1144311887assigned 09/27/2006
33bProvider typeOptometrist
28Total paid$92K
24GClaims3,155
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#200 of 698
Median peer was paid$19K
This provider vs. median4.8×
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 | 1,361 | $40K | |
| 2019 | 728 | $22K | |
| 2020 | 617 | $17K | |
| 2021 | 361 | $10K | |
| 2022 | 88 | $3K |
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 | 35% | 598 | 582 | $32K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 836 | 797 | $23K |
| V2020 | Frames, purchases | 13% | 818 | 760 | $12K |
| 92015 | Determination of refractive state | 12% | 402 | 391 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.5% | 130 | 120 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.1% | 191 | 175 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.7% | 180 | 167 | $3K |
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.