Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Tennessee Eye Care Specialists, PLLC

Tennessee Eye Care Specialists, PLLC was paid $48K by Medicaid between Mar 2021 and May 2023, across 7 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 64% of everything it billed.

33Billing provider infoTENNESSEE EYE CARE SPECIALISTS, PLLC
ATHENS, TN 37303
33aNPI1326503699assigned 01/31/2019
33bProvider typeOptometrist
28Total paid$48K
24GClaims2,939
24DCodes billed7
24AFirst – last monthMar 2021 – May 2023
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#257 of 698
Median peer was paid$19K
This provider vs. median2.5×

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

$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
20211,153$16K
20221,700$30K
202386$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 64% 433 365 $31K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 8.9% 366 343 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 8.5% 397 370 $4K
92134 5.8% 527 477 $3K
67028 Intravitreal injection of a pharmacologic agent 5.7% 126 108 $3K
92136 5.3% 908 765 $3K
J9035 Injection, bevacizumab, 10 mg 2.1% 182 108 $981.91

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 officialJOLLY, ELENA (DIRECTOR OF OPERATIONS)