Physician
Joos, Karen
Joos, Karen was paid $24K by Medicaid between Feb 2018 and Oct 2020, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.
33Billing provider infoJOOS, KAREN
NASHVILLE, TN 37232
NASHVILLE, TN 37232
33aNPI1447359872assigned 09/22/2006
33bProvider typeOphthalmology Physician
28Total paid$24K
24GClaims716
24DCodes billed4
24AFirst – last monthFeb 2018 – Oct 2020
Compared with peers
Next to other Ophthalmology Physician providers in Tennessee
Rank by total paid#49 of 114
Median peer was paid$15K
This provider vs. median1.6×
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 | 323 | $11K | |
| 2019 | 202 | $6K | |
| 2020 | 191 | $7K |
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 | 41% | 187 | 173 | $10K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 32% | 226 | 199 | $8K |
| 92083 | 20% | 256 | 241 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.5% | 47 | 40 | $2K |
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.