Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Graves, Thomas

Graves, Thomas was paid $101K by Medicaid between Jan 2018 and Feb 2022, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 32% of everything it billed.

33Billing provider infoGRAVES, THOMAS
GALLATIN, TN 37066
33aNPI1184680878assigned 04/22/2006
33bProvider typeOptometrist
28Total paid$101K
24GClaims4,381
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2022
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#192 of 698
Median peer was paid$19K
This provider vs. median5.3×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,443$44K
20191,550$23K
2020536$5K
2021802$28K
202250$706.58
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 32% 1,446 1,417 $33K
92340 Fitting of spectacles, except for aphakia; monofocal 26% 1,300 1,202 $26K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 471 461 $22K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 14% 358 353 $14K
92002 3.5% 75 75 $4K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 2.3% 41 41 $2K
V2020 Frames, purchases 0% 283 279 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 142 138 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 265 263 $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.