James C. Loden, MD PC
James C. Loden, MD PC was paid $45K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoJAMES C. LODEN, MD PC
GOODLETTSVILLE, TN 37072
GOODLETTSVILLE, TN 37072
33aNPI1215077292assigned 02/07/2007
33bProvider typeSpecialist
28Total paid$45K
24GClaims3,645
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#135 of 252
Median peer was paid$57K
This provider vs. median0.8×
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 | 734 | $11K | |
| 2019 | 598 | $6K | |
| 2020 | 509 | $6K | |
| 2021 | 981 | $10K | |
| 2022 | 322 | $2K | |
| 2023 | 339 | $7K | |
| 2024incomplete | 162 | $4K |
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 | 42% | 1,303 | 869 | $19K |
| 92134 | 16% | 1,126 | 771 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.7% | 379 | 298 | $4K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 8.7% | 32 | 25 | $4K |
| 67028 | Intravitreal injection of a pharmacologic agent | 8.0% | 125 | 60 | $4K |
| 92015 | Determination of refractive state | 4.6% | 174 | 137 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.3% | 144 | 105 | $2K |
| 92136 | 2.4% | 246 | 156 | $1K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.8% | 28 | 27 | $821.30 |
| J9035 | Injection, bevacizumab, 10 mg | 1.8% | 75 | 43 | $813.70 |
| 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% | 13 | 12 | $366.41 |
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 officialLODEN, JAMES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Loden Vision Center of Paris, PLC | Paris, TN | $68K |
| Van Dyck Asc, LLC | Paris, TN | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.