Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › TN › Cordova › NPI 1295397016

Gussler, April

Gussler, April was paid $2K by Medicaid between Apr 2024 and Aug 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.

33Billing provider infoGUSSLER, APRIL
CORDOVA, TN 38016
33aNPI1295397016assigned 07/01/2019
33bProvider typeOptometrist
28Total paid$2K
24GClaims152
24DCodes billed5
24AFirst – last monthApr 2024 – Aug 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#546 of 698
Median peer was paid$19K
This provider vs. median0.1×

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$500$1.0K$1.5K2018201920202021202220232024
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
2024incomplete152$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 48% 25 24 $960.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 20% 28 27 $390.00
V2020 Frames, purchases 17% 35 34 $340.00
92015 Determination of refractive state 8.8% 26 25 $175.00
V2784 Lens, polycarbonate or equal, any index, per lens 6.0% 38 37 $118.00

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.