Supplier
Tammy Holsclaw-Jones Od PLLC
Tammy Holsclaw-Jones Od PLLC was paid $516K by Medicaid between Jan 2018 and Nov 2024, across 32 billing codes. Its largest line is 92250, — 14% of everything it billed.
33Billing provider infoTAMMY HOLSCLAW-JONES OD PLLC
ELIZABETHTON, TN 37643
ELIZABETHTON, TN 37643
33aNPI1407025968assigned 02/28/2008
33bProvider typeEyewear Supplier
28Total paid$516K
24GClaims24,328
24DCodes billed32
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in Tennessee
Rank by total paid#5 of 68
Median peer was paid$155K
This provider vs. median3.3×
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 | 1,155 | $26K | |
| 2019 | 2,503 | $56K | |
| 2020 | 3,561 | $73K | |
| 2021 | 5,100 | $103K | |
| 2022 | 5,717 | $125K | |
| 2023 | 4,322 | $86K | |
| 2024incomplete | 1,970 | $46K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 14% | 2,500 | 2,284 | $72K | |
| 92060 | 11% | 2,037 | 1,760 | $56K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.6% | 1,846 | 1,724 | $50K |
| 92015 | Determination of refractive state | 9.2% | 2,016 | 1,874 | $48K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 9.0% | 1,637 | 1,507 | $46K |
| 92065 | 6.0% | 1,033 | 436 | $31K | |
| 92025 | 5.4% | 1,607 | 1,455 | $28K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.3% | 2,831 | 1,308 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.7% | 489 | 458 | $24K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 3.9% | 1,034 | 435 | $20K |
| V2020 | Frames, purchases | 3.9% | 1,393 | 1,283 | $20K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.7% | 1,035 | 435 | $19K |
20 more codes
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.5% | 1,034 | $18K |
| 97129 | 3.4% | 980 | $17K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.8% | 440 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.7% | 119 | $9K |
| 99214 | Doctor's office visit, returning patient (more involved) | 1.2% | 158 | $6K |
| 92083 | <1% | 153 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 36 | $2K |
| 92134 | <1% | 135 | $2K | |
| 95930 | <1% | 64 | $1K | |
| 0509T | <1% | 52 | $1K | |
| 92273 | <1% | 16 | $1K | |
| 92133 | <1% | 56 | $884.91 | |
| 92283 | <1% | 36 | $420.51 | |
| 92020 | <1% | 28 | $402.67 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 347 | $179.91 |
| 76514 | <1% | 15 | $93.40 | |
| G0515 | Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutes | 0% | 46 | $0.00 |
| 97533 | 0% | 1,033 | $0.00 | |
| 99072 | 0% | 109 | $0.00 | |
| V2750 | Anti-reflective coating, per lens | 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 officialHOLSCLAW-JONES, TAMMY (OPTOMETRIST)