Pathway Eye Athens
Pathway Eye Athens was paid $461K by Medicaid between Jan 2018 and Aug 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoPATHWAY EYE ATHENS
ATHENS, AL 35611
ATHENS, AL 35611
33aNPI1205009750assigned 04/04/2008
33bProvider typeOptometrist
28Total paid$461K
24GClaims16,018
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#51 of 346
Median peer was paid$59K
This provider vs. median7.8×
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 | 2,052 | $56K | |
| 2019 | 1,893 | $47K | |
| 2020 | 1,501 | $37K | |
| 2021 | 2,834 | $81K | |
| 2022 | 3,066 | $85K | |
| 2023 | 3,139 | $94K | |
| 2024incomplete | 1,533 | $61K |
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 | 43% | 3,314 | 3,076 | $199K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 1,592 | 1,453 | $124K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 5,210 | 4,889 | $86K |
| 92015 | Determination of refractive state | 10% | 5,743 | 5,369 | $47K |
| 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% | 82 | 68 | $3K |
| V2020 | Frames, purchases | <1% | 20 | 12 | $1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 28 | 28 | $722.00 |
| 92341 | <1% | 12 | 12 | $180.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 17 | 12 | $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 officialDAVIS, CHAD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Chattanooga Eye Care | Chattanooga, TN | $220K |
| Pathway Eye Huntsville, LLC | Huntsville, AL | $69K |
| Rogersville Eye Clinic | Rogersville, AL | $44K |
| Heritage Eye Care | Madison, AL | $41K |
| Nagan, Arregui, & Davis, MDS, INC | Indianapolis, IN | $38K |
| Pathway Eye Decatur, LLC | Decatur, AL | $216.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.