Adams, Edwin
Adams, Edwin was paid $420K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 23% of everything it billed.
33Billing provider infoADAMS, EDWIN
GONZALES, LA 70737
GONZALES, LA 70737
33aNPI1437155793assigned 06/22/2005
33bProvider typeOptometrist
28Total paid$420K
24GClaims22,123
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#131 of 442
Median peer was paid$199K
This provider vs. median2.1×
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 | 2,150 | $38K | |
| 2019 | 3,183 | $63K | |
| 2020 | 5,394 | $125K | |
| 2021 | 4,109 | $91K | |
| 2022 | 2,733 | $36K | |
| 2023 | 2,149 | $32K | |
| 2024incomplete | 2,405 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 1,123 | 1,057 | $95K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 1,257 | 1,165 | $86K |
| V2020 | Frames, purchases | 20% | 5,928 | 5,590 | $85K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 3,815 | 3,620 | $63K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 12% | 3,928 | 3,751 | $51K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.8% | 1,675 | 1,622 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.5% | 478 | 458 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 93 | 87 | $5K |
| V2799 | Vision item or service, miscellaneous | <1% | 257 | 240 | $4K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 236 | 230 | $4K |
| 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 | <1% | 32 | 18 | $1K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 40 | 39 | $697.41 |
3 more codes
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.