Politzer and Durocher PLC
Politzer and Durocher PLC was paid $1.62M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
NASHVILLE, TN 37205
Next to other Optometrist providers in Tennessee
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,300 | $92K | |
| 2019 | 3,917 | $150K | |
| 2020 | 3,320 | $126K | |
| 2021 | 8,583 | $319K | |
| 2022 | 8,758 | $324K | |
| 2023 | 8,948 | $309K | |
| 2024incomplete | 7,995 | $301K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 5,978 | 5,469 | $348K |
| 92015 | Determination of refractive state | 16% | 8,121 | 7,480 | $267K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 2,702 | 2,522 | $217K |
| 92060 | 10% | 5,125 | 4,765 | $165K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10.0% | 5,530 | 5,309 | $162K |
| 95930 | 6.5% | 2,603 | 2,329 | $106K | |
| 92250 | 3.9% | 2,156 | 1,957 | $63K | |
| 92065 | 3.8% | 1,945 | 863 | $61K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.4% | 1,204 | 907 | $55K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.1% | 1,424 | 1,154 | $50K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 2.4% | 458 | 379 | $39K |
| V2020 | Frames, purchases | 2.0% | 2,113 | 1,992 | $32K |
16 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 1.4% | 432 | $22K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 877 | $10K |
| 92083 | <1% | 338 | $8K | |
| 92066 | <1% | 625 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 101 | $3K |
| 92273 | <1% | 45 | $2K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 119 | $1K |
| 92002 | <1% | 31 | $1K | |
| 92275 | <1% | 16 | $635.27 | |
| G9905 | Patient not screened for tobacco use | 0% | 207 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 71 | $0.00 |
| 2026F | 0% | 102 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 956 | $0.00 |
| 1036F | 0% | 501 | $0.00 | |
| 3072F | 0% | 28 | $0.00 | |
| G8430 | Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) | 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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Achilles Foot Health Center, L.L.C. | North Haven, CT | $146K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.