Nathaniel D Edwards Od PLLC
Nathaniel D Edwards Od PLLC was paid $82K by Medicaid between Aug 2018 and Nov 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 29% of everything it billed.
33Billing provider infoNATHANIEL D EDWARDS OD PLLC
DUNCAN, OK 73533
DUNCAN, OK 73533
33aNPI1518343763assigned 08/10/2015
33bProvider typeOptometrist
28Total paid$82K
24GClaims2,693
24DCodes billed8
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#193 of 336
Median peer was paid$113K
This provider vs. median0.7×
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 | 89 | $3K | |
| 2019 | 99 | $3K | |
| 2020 | 355 | $11K | |
| 2021 | 406 | $12K | |
| 2022 | 604 | $18K | |
| 2023 | 347 | $10K | |
| 2024incomplete | 793 | $27K |
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 | 29% | 182 | 182 | $24K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 173 | 173 | $19K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 458 | 456 | $14K |
| 92015 | Determination of refractive state | 14% | 643 | 642 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 326 | 325 | $9K |
| V2020 | Frames, purchases | 5.9% | 481 | 477 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $251.10 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 418 | 416 | $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 officialEDWARDS, NATHANIEL (MANAGER)