Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hayley, John

Hayley, John was paid $404K by Medicaid between Nov 2022 and Dec 2024, across 14 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 19% of everything it billed.

33Billing provider infoHAYLEY, JOHN
MURFREESBORO, TN 37129
33aNPI1295043537assigned 09/21/2010
33bProvider typeOptometrist
28Total paid$404K
24GClaims11,552
24DCodes billed14
24AFirst – last monthNov 2022 – Dec 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#64 of 698
Median peer was paid$19K
This provider vs. median21×

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$20K$40K2018201920202021202220232024
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
20221,396$46K
20236,736$242K
2024incomplete3,420$116K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 19% 983 977 $78K
S0620 Routine ophthalmological examination including refraction; new patient 15% 736 735 $61K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 517 499 $50K
V2784 Lens, polycarbonate or equal, any index, per lens 11% 2,516 2,413 $44K
92250 10% 739 724 $42K
V2025 Deluxe frame 9.6% 933 927 $39K
V2020 Frames, purchases 7.1% 1,737 1,659 $29K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 6.5% 1,487 1,445 $26K
92015 Determination of refractive state 2.3% 655 634 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.2% 241 227 $9K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 2.1% 510 485 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.8% 440 425 $7K
2 more codes
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 14 $2K
V2750 Anti-reflective coating, per lens <1% 44 $510.55

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.