Decatur Eye Institute
Decatur Eye Institute was paid $437K by Medicaid between Jan 2018 and Jan 2021, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 56% of everything it billed.
33Billing provider infoDECATUR EYE INSTITUTE
DECATUR, AL 35603
DECATUR, AL 35603
33aNPI1417095498assigned 02/02/2007
33bProvider typeOptometrist
28Total paid$437K
24GClaims13,885
24DCodes billed3
24AFirst – last monthJan 2018 – Jan 2021
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#55 of 346
Median peer was paid$59K
This provider vs. median7.4×
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 | 4,699 | $145K | |
| 2019 | 6,633 | $216K | |
| 2020 | 2,396 | $71K | |
| 2021 | 157 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 56% | 4,424 | 4,203 | $244K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 2,302 | 2,142 | $137K |
| 92015 | Determination of refractive state | 13% | 7,159 | 6,702 | $56K |
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 officialALEXANDER, MARCIE (INSURANCE CLERK)
| Provider | Location | Paid |
|---|---|---|
| Marx Optical | Cullman, AL | $11K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.