Fitzgerald, James
Fitzgerald, James was paid $26K by Medicaid between Jan 2018 and Jun 2023, across 2 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.
33Billing provider infoFITZGERALD, JAMES
SEVIERVILLE, TN 37862
SEVIERVILLE, TN 37862
33aNPI1336229855assigned 10/17/2006
33bProvider typeOptometrist
28Total paid$26K
24GClaims734
24DCodes billed2
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#312 of 698
Median peer was paid$19K
This provider vs. median1.4×
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 | 172 | $6K | |
| 2019 | 280 | $10K | |
| 2020 | 134 | $5K | |
| 2021 | 69 | $2K | |
| 2022 | 39 | $1K | |
| 2023 | 40 | $2K |
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 | 67% | 288 | 281 | $18K |
| 92015 | Determination of refractive state | 33% | 446 | 433 | $9K |
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.