Physician
Knoxville Pediatric Ophthalmology, PLLC
Knoxville Pediatric Ophthalmology, PLLC was paid $3.34M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.
33Billing provider infoKNOXVILLE PEDIATRIC OPHTHALMOLOGY, PLLC
KNOXVILLE, TN 37916
KNOXVILLE, TN 37916
33aNPI1174831887assigned 09/15/2010
33bProvider typeOphthalmology Physician
28Total paid$3.34M
24GClaims75,864
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Tennessee
Rank by total paid#2 of 114
Median peer was paid$15K
This provider vs. median227×
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 | 8,063 | $363K | |
| 2019 | 8,552 | $388K | |
| 2020 | 6,713 | $288K | |
| 2021 | 10,127 | $419K | |
| 2022 | 15,153 | $692K | |
| 2023 | 15,195 | $687K | |
| 2024incomplete | 12,061 | $503K |
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 | 21% | 10,426 | 9,135 | $689K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 5,392 | 4,902 | $499K |
| 92060 | 10% | 10,356 | 9,067 | $341K | |
| 92015 | Determination of refractive state | 10% | 11,661 | 10,428 | $340K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.6% | 2,931 | 2,616 | $286K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 7.2% | 3,629 | 3,409 | $241K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.3% | 4,341 | 3,779 | $212K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.0% | 7,503 | 6,918 | $199K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 5.2% | 2,849 | 2,448 | $173K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.6% | 6,383 | 5,878 | $122K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 3,084 | 2,711 | $120K |
| V2020 | Frames, purchases | 3.2% | 6,669 | 6,142 | $107K |
8 more codes
| 67515 | <1% | 117 | $5K | |
| V2114 | Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens | <1% | 142 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 145 | $1K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 63 | $604.30 |
| 92285 | <1% | 22 | $480.04 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 15 | $394.14 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 29 | $13.55 |
| V2799 | Vision item or service, miscellaneous | 0% | 107 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSTOFFLE, DEBORAH (OFFICE ADMIN)