Southside Senior Care LLC
Southside Senior Care LLC was paid $31K by Medicaid between Jan 2018 and Mar 2020, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 51% of everything it billed.
33Billing provider infoSOUTHSIDE SENIOR CARE LLC
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1497927115assigned 04/02/2008
33bProvider typeOptometrist
28Total paid$31K
24GClaims3,358
24DCodes billed7
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#295 of 698
Median peer was paid$19K
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 | 1,129 | $10K | |
| 2019 | 1,853 | $15K | |
| 2020 | 376 | $7K |
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 | 51% | 1,139 | 1,002 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 47% | 2,050 | 1,772 | $15K |
| 92250 | 1.6% | 92 | 82 | $484.22 | |
| 92015 | Determination of refractive state | <1% | 20 | 17 | $32.78 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 18 | 15 | $0.00 |
| 92341 | 0% | 19 | 16 | $0.00 | |
| V2020 | Frames, purchases | 0% | 20 | 17 | $0.00 |
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 officialCOX, SAMUEL (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Arizona Foot & Ankle Specialists, LLC | Goodyear, AZ | $390K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.