Physician
Southeast Eye Specialists PLLC
Southeast Eye Specialists PLLC was paid $3.78M by Medicaid between Jan 2018 and Dec 2024, across 35 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoSOUTHEAST EYE SPECIALISTS PLLC
CHATTANOOGA, TN 37421
CHATTANOOGA, TN 37421
33aNPI1518961176assigned 06/10/2005
33bProvider typeOphthalmic Plastic and Reconstructive Surgery Physician
28Total paid$3.78M
24GClaims84,056
24DCodes billed35
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official BURTON, AMY controls 13+ related entities in our dataset. Read more
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 | 11,558 | $509K | |
| 2019 | 12,817 | $570K | |
| 2020 | 9,659 | $478K | |
| 2021 | 12,766 | $636K | |
| 2022 | 12,200 | $544K | |
| 2023 | 13,586 | $575K | |
| 2024incomplete | 11,470 | $463K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 25% | 17,272 | 14,811 | $960K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 10,164 | 8,889 | $636K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 16% | 7,137 | 4,774 | $619K |
| 92060 | 12% | 13,782 | 12,547 | $472K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.5% | 3,612 | 3,483 | $320K |
| 92015 | Determination of refractive state | 8.0% | 7,845 | 7,551 | $301K |
| 67028 | Intravitreal injection of a pharmacologic agent | 3.0% | 2,611 | 1,814 | $115K |
| 92285 | 1.4% | 1,717 | 1,597 | $54K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 1,703 | 1,495 | $52K |
| 92250 | 1.4% | 1,235 | 1,132 | $52K | |
| 92134 | 1.1% | 3,948 | 3,095 | $40K | |
| 92136 | 1.0% | 6,468 | 2,851 | $40K |
23 more codes
| 99203 | Doctor's office visit, new patient (routine) | 1.0% | 600 | $39K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 1,676 | $33K |
| 92286 | <1% | 321 | $21K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 238 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 124 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 105 | $2K |
| 92133 | <1% | 196 | $2K | |
| 92083 | <1% | 138 | $2K | |
| 2022F | <1% | 111 | $200.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 17 | $112.84 |
| 66821 | <1% | 21 | $84.24 | |
| 92025 | <1% | 48 | $57.62 | |
| 76514 | <1% | 19 | $16.28 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 372 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 279 | $0.00 |
| 1036F | 0% | 636 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 30 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 941 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 488 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 60 | $0.00 |
| 4040F | 0% | 18 | $0.00 | |
| G8753 | Most recent systolic blood pressure >= 140 mmhg | 0% | 94 | $0.00 |
| 5010F | 0% | 30 | $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 officialBURTON, AMY (DIRECTOR RCM)
| Provider | Location | Paid |
|---|---|---|
| David M Harman MD LLC | Forest, VA | $9.65M |
| Surgery Center of Central Virginia INC. | Forest, VA | $976K |
| Mountain Empire Cataract & Eye Surgery Center | Bristol, TN | $930K |
| Cataract and Refractive Surgery Center, LLC | Richmond, VA | $462K |
| David M Harman MD LLC | Appomattox, VA | $156K |
| Harman Eye Center of Lynchburg, LLC | Lynchburg, VA | $135K |
| Harman Eye Center of Danville LLC | Danville, VA | $52K |
| David M Harman MD LLC | Danville, VA | $15K |
| David M Harman MD LLC | Amherst, VA | $14K |
| Cataract and Refractive Surgery Center, LLC | Richmond, VA | $10K |
| Michael E. Green | Gallatin, TN | $7K |
| Winchester Eye Surgery Center, LLC | Winchester, VA | $5K |
| Harman Eye Center of Appomattox and Associates PLC | Appomattox, VA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.