Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sunset Eye Care PC

Sunset Eye Care PC was paid $115K by Medicaid between Dec 2020 and Dec 2024, across 9 billing codes. Its largest line is 92015, Determination of refractive state — 27% of everything it billed.

33Billing provider infoSUNSET EYE CARE PC
JOHNSON CITY, TN 37604
33aNPI1265853253assigned 12/18/2013
33bProvider typeOptometrist
28Total paid$115K
24GClaims4,030
24DCodes billed9
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#178 of 698
Median peer was paid$19K
This provider vs. median6.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
202074$2K
2021888$21K
2022801$23K
20231,346$39K
2024incomplete921$30K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 27% 863 829 $31K
92250 24% 787 747 $28K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 469 443 $23K
92340 Fitting of spectacles, except for aphakia; monofocal 11% 501 479 $13K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10.0% 167 162 $12K
V2020 Frames, purchases 5.9% 740 716 $7K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 1.2% 150 73 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 252 195 $1K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 101 101 $60.00

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 officialPATTESON, ANGELA (OWNER)