Managed care
Desoto Eyecare INC
Desoto Eyecare INC was paid $152K by Medicaid between Jan 2018 and Oct 2024, across 20 billing codes. Its largest line is 92015, Determination of refractive state — 29% of everything it billed.
33Billing provider infoDESOTO EYECARE INC
SOUTHAVEN, MS 38671
SOUTHAVEN, MS 38671
33aNPI1376576884assigned 07/08/2006
33bProvider typeExclusive Provider Organization
28Total paid$152K
24GClaims9,494
24DCodes billed20
24AFirst – last monthJan 2018 – Oct 2024
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 | 1,897 | $32K | |
| 2019 | 2,018 | $29K | |
| 2020 | 1,542 | $21K | |
| 2021 | 1,432 | $22K | |
| 2022 | 614 | $16K | |
| 2023 | 1,133 | $18K | |
| 2024incomplete | 858 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 29% | 2,703 | 2,305 | $44K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16% | 565 | 449 | $24K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 771 | 555 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 744 | 710 | $16K |
| 92002 | 11% | 311 | 283 | $16K | |
| V2020 | Frames, purchases | 7.8% | 1,405 | 1,292 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.8% | 175 | 125 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.8% | 367 | 256 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 668 | 603 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 74 | 65 | $716.32 |
| 92134 | <1% | 78 | 54 | $492.61 | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 59 | 25 | $330.06 |
8 more codes
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 84 | $11.87 |
| 1036F | 0% | 45 | $0.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 959 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 41 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 12 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 305 | $0.00 |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 115 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 13 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialSCHAEFFER, ALAN (MD OWNER)
Parent organizationDESOTO EYECARE INC