Benegas, Nancy

Benegas, Nancy was paid $433K by Medicaid between Jan 2018 and Dec 2020, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.

33Billing provider infoBENEGAS, NANCY
NASHVILLE, TN 37232

33aNPI1275504854assigned 01/31/2006

33bProvider typeOphthalmology Physician

28Total paid$433K

24GClaims6,767

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2020

Compared with peers

Next to other Ophthalmology Physician providers in Tennessee

Rank by total paid#15 of 114

Median peer was paid$15K

This provider vs. median29×

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	2,314	$136K
2019	2,016	$146K
2020	2,437	$150K

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	32%	1,572	1,496	$137K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	27%	1,038	996	$117K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	21%	1,485	1,385	$92K
92015	Determination of refractive state	7.8%	1,683	1,599	$34K
92060		6.9%	681	637	$30K
99243		2.8%	110	103	$12K
92226		<1%	42	32	$3K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	<1%	26	19	$2K
99231	Subsequent hospital care, per day, straightforward or low complexity	<1%	42	34	$2K
92201		<1%	57	35	$1K
92225		<1%	17	15	$1K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	14	14	$508.37

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.