Horner, Samuel
Horner, Samuel was paid $155K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 25% of everything it billed.
33Billing provider infoHORNER, SAMUEL
CLEVELAND, TN 37311
CLEVELAND, TN 37311
33aNPI1164412102assigned 10/21/2005
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$155K
24GClaims5,681
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Tennessee
Rank by total paid#5 of 14
Median peer was paid$21K
This provider vs. median7.5×
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 | 607 | $17K | |
| 2019 | 872 | $28K | |
| 2020 | 745 | $21K | |
| 2021 | 808 | $21K | |
| 2022 | 1,083 | $28K | |
| 2023 | 978 | $25K | |
| 2024incomplete | 588 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 25% | 1,690 | 1,623 | $39K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 24% | 1,311 | 1,249 | $37K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 414 | 392 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 271 | 266 | $20K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13% | 660 | 628 | $19K |
| V2020 | Frames, purchases | 7.2% | 926 | 880 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.2% | 253 | 240 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 109 | 93 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 47 | 45 | $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.