Macmillan, Thomas
Macmillan, Thomas was paid $15K by Medicaid between Jan 2018 and Apr 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 55% of everything it billed.
33Billing provider infoMACMILLAN, THOMAS
CLINTON, SC 29325
CLINTON, SC 29325
33aNPI1154305910assigned 12/05/2005
33bProvider typeOptometrist
28Total paid$15K
24GClaims717
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#228 of 425
Median peer was paid$22K
This provider vs. median0.7×
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 | 336 | $10K | |
| 2019 | 184 | $3K | |
| 2020 | 30 | $931.93 | |
| 2021 | 39 | $288.48 | |
| 2022 | 26 | $166.00 | |
| 2023 | 84 | $596.14 | |
| 2024incomplete | 18 | $113.00 |
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 | 55% | 134 | 134 | $8K |
| 92015 | Determination of refractive state | 26% | 515 | 514 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 56 | 28 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.0% | 12 | 12 | $746.50 |
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.