Gandy, Jimmy
Gandy, Jimmy was paid $1.32M by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.
33Billing provider infoGANDY, JIMMY
RAYVILLE, LA 71269
RAYVILLE, LA 71269
33aNPI1366447310assigned 06/16/2005
33bProvider typeOptometrist
28Total paid$1.32M
24GClaims51,978
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#38 of 442
Median peer was paid$199K
This provider vs. median6.6×
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 | 6,856 | $185K | |
| 2019 | 6,315 | $147K | |
| 2020 | 6,743 | $169K | |
| 2021 | 9,481 | $245K | |
| 2022 | 10,801 | $279K | |
| 2023 | 6,331 | $160K | |
| 2024incomplete | 5,451 | $131K |
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 | 37% | 7,075 | 6,701 | $492K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 3,233 | 3,084 | $280K |
| V2020 | Frames, purchases | 13% | 10,846 | 10,098 | $173K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 7.0% | 7,203 | 6,835 | $92K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.0% | 4,480 | 4,214 | $79K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.9% | 1,229 | 1,142 | $65K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.2% | 3,460 | 3,240 | $56K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.1% | 655 | 568 | $27K |
| 92250 | 1.7% | 1,027 | 895 | $23K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.4% | 1,605 | 1,519 | $19K |
| V2799 | Vision item or service, miscellaneous | <1% | 746 | 738 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 220 | 216 | $3K |
3 more codes
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.