Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Patterson, Robert

Patterson, Robert was paid $192K by Medicaid between Jan 2018 and Sep 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.

33Billing provider infoPATTERSON, ROBERT
OOLTEWAH, TN 37363
33aNPI1194756577assigned 07/05/2006
33bProvider typeOptometrist
28Total paid$192K
24GClaims5,132
24DCodes billed6
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#132 of 698
Median peer was paid$19K
This provider vs. median10×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018937$34K
2019999$35K
2020468$23K
2021692$22K
20221,101$40K
2023666$25K
2024incomplete269$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 50% 1,538 1,487 $97K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 44% 2,584 2,462 $84K
92250 3.2% 226 223 $6K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 722 609 $4K
92310 <1% 27 27 $1K
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 <1% 35 30 $111.94

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.