The Optical Shoppe PLLC
The Optical Shoppe PLLC was paid $61K by Medicaid between Dec 2018 and Dec 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 42% of everything it billed.
33Billing provider infoTHE OPTICAL SHOPPE PLLC
SMYRNA, TN 37167
SMYRNA, TN 37167
33aNPI1497190581assigned 05/03/2013
33bProvider typeOptometrist
28Total paid$61K
24GClaims2,478
24DCodes billed8
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#231 of 698
Median peer was paid$19K
This provider vs. median3.2×
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 | 18 | $497.65 | |
| 2019 | 204 | $6K | |
| 2020 | 189 | $6K | |
| 2021 | 85 | $2K | |
| 2022 | 407 | $10K | |
| 2023 | 566 | $11K | |
| 2024incomplete | 1,009 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 42% | 926 | 804 | $26K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 183 | 159 | $8K |
| 92250 | 13% | 272 | 236 | $8K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 126 | 110 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 7.7% | 354 | 329 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.6% | 117 | 108 | $3K |
| V2020 | Frames, purchases | 4.2% | 321 | 297 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.4% | 179 | 138 | $843.24 |
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 officialTRAPENI, PAUL (OWNER)