Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Eye M D Ophthalmology PLLC

Eye M D Ophthalmology PLLC was paid $167K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 48% of everything it billed.

33Billing provider infoEYE M D OPHTHALMOLOGY PLLC
TULLAHOMA, TN 37388
33aNPI1407984396assigned 03/01/2007
33bProvider typeOptometrist
28Total paid$167K
24GClaims5,266
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#141 of 698
Median peer was paid$19K
This provider vs. median8.8×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
2018862$29K
2019836$26K
2020773$24K
2021770$23K
2022821$24K
2023710$22K
2024incomplete494$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 48% 1,652 1,481 $80K
92015 Determination of refractive state 21% 1,709 1,597 $36K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 455 413 $32K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.2% 620 531 $7K
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 2.4% 247 209 $4K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.5% 179 157 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 130 106 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.0% 35 24 $2K
92133 <1% 130 118 $1K
92083 <1% 71 68 $1K
99441 <1% 21 18 $119.62
92136 <1% 17 12 $73.73

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 officialMAHAN, BEN (OWNER)
Same official

Other billing entities under MAHAN, BEN

Full network →
ProviderLocationPaid
Eye Associates Optical, LLC.Tullahoma, TN$4K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.