Southern Tier Optometry PLLC
Southern Tier Optometry PLLC was paid $14K by Medicaid between Apr 2018 and Feb 2020, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoSOUTHERN TIER OPTOMETRY PLLC
JAMESTOWN, NY 14701
JAMESTOWN, NY 14701
33aNPI1245500685assigned 01/03/2012
33bProvider typeOptometrist
28Total paid$14K
24GClaims1,376
24DCodes billed7
24AFirst – last monthApr 2018 – Feb 2020
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#944 of 1,605
Median peer was paid$29K
This provider vs. median0.5×
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 | 217 | $2K | |
| 2019 | 1,079 | $11K | |
| 2020 | 80 | $138.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 83 | 83 | $4K |
| V2020 | Frames, purchases | 25% | 302 | 293 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 112 | 55 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15% | 106 | 49 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 46 | 46 | $2K |
| 92015 | Determination of refractive state | <1% | 123 | 123 | $10.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 604 | 296 | $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 officialGIBBS, KARA (OWNER)