Blocker, Donald
Blocker, Donald was paid $21K by Medicaid between Jan 2018 and Dec 2019, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 41% of everything it billed.
33Billing provider infoBLOCKER, DONALD
PORTLAND, TN 37148
PORTLAND, TN 37148
33aNPI1396798013assigned 05/17/2006
33bProvider typeOptometrist
28Total paid$21K
24GClaims956
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#339 of 698
Median peer was paid$19K
This provider vs. median1.1×
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 | 298 | $7K | |
| 2019 | 658 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 41% | 423 | 371 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 209 | 201 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 46 | 38 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.7% | 74 | 53 | $2K |
| V2020 | Frames, purchases | 5.6% | 125 | 109 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.4% | 38 | 29 | $905.50 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.2% | 15 | 14 | $670.67 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 26 | 26 | $218.14 |
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.