Yates, James
Yates, James was paid $232K by Medicaid between Dec 2018 and Dec 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoYATES, JAMES
TRENTON, TN 38382
TRENTON, TN 38382
33aNPI1497849681assigned 10/03/2006
33bProvider typeOptometrist
28Total paid$232K
24GClaims10,165
24DCodes billed9
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#116 of 698
Median peer was paid$19K
This provider vs. median12×
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 | 27 | $571.00 | |
| 2019 | 1,548 | $34K | |
| 2020 | 1,460 | $36K | |
| 2021 | 1,595 | $35K | |
| 2022 | 1,884 | $41K | |
| 2023 | 1,953 | $45K | |
| 2024incomplete | 1,698 | $41K |
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 | 42% | 2,295 | 2,176 | $98K |
| 92015 | Determination of refractive state | 28% | 2,986 | 2,834 | $64K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 10% | 364 | 350 | $24K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.2% | 936 | 905 | $19K |
| V2020 | Frames, purchases | 7.0% | 2,314 | 2,195 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.7% | 880 | 848 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.3% | 255 | 244 | $3K |
| 92250 | <1% | 75 | 69 | $969.40 | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 60 | 52 | $822.77 |
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.