Elmore, Ellen
Elmore, Ellen was paid $40K by Medicaid between Mar 2018 and Dec 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoELMORE, ELLEN
CLARKSVILLE, TN 37040
CLARKSVILLE, TN 37040
33aNPI1245678028assigned 06/13/2013
33bProvider typeOptometrist
28Total paid$40K
24GClaims4,253
24DCodes billed7
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#278 of 698
Median peer was paid$19K
This provider vs. median2.1×
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 | 182 | $3K | |
| 2019 | 297 | $2K | |
| 2020 | 232 | $2K | |
| 2021 | 630 | $5K | |
| 2022 | 789 | $8K | |
| 2023 | 1,080 | $11K | |
| 2024incomplete | 1,043 | $10K |
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 | 39% | 431 | 418 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 29% | 865 | 850 | $12K |
| 92015 | Determination of refractive state | 17% | 1,051 | 1,019 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 151 | 145 | $6K |
| V2020 | Frames, purchases | <1% | 781 | 758 | $55.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 775 | 761 | $5.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 199 | 196 | $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.