Bergeron, Lillian
Bergeron, Lillian was paid $94K by Medicaid between Feb 2019 and Apr 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 41% of everything it billed.
33Billing provider infoBERGERON, LILLIAN
PORT ALLEN, LA 70767
PORT ALLEN, LA 70767
33aNPI1245719731assigned 08/07/2018
33bProvider typeOptometrist
28Total paid$94K
24GClaims3,098
24DCodes billed9
24AFirst – last monthFeb 2019 – Apr 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#278 of 442
Median peer was paid$199K
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 | |
|---|---|---|---|
| 2019 | 2,772 | $75K | |
| 2020 | 88 | $2K | |
| 2021 | 141 | $13K | |
| 2023 | 79 | $3K | |
| 2024incomplete | 18 | $0.00 |
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 | 41% | 514 | 406 | $38K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 452 | 399 | $30K |
| V2020 | Frames, purchases | 8.3% | 579 | 521 | $8K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.7% | 586 | 533 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.6% | 573 | 327 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.4% | 76 | 61 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.1% | 235 | 141 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 17 | 12 | $164.05 |
| 92015 | Determination of refractive state | 0% | 66 | 59 | $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.