Smith, Lionel

Smith, Lionel was paid $288K by Medicaid between Jan 2018 and Dec 2021, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.

33Billing provider infoSMITH, LIONEL
OPELOUSAS, LA 70570

33aNPI1538277330assigned 08/29/2006

33bProvider typeOphthalmology Physician

28Total paid$288K

24GClaims8,630

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2021

Compared with peers

Next to other Ophthalmology Physician providers in Louisiana

Rank by total paid#33 of 187

Median peer was paid$28K

This provider vs. median10×

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	4,150	$138K
2019	2,668	$86K
2020	1,094	$39K
2021	718	$26K

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	32%	1,470	1,332	$93K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	29%	1,717	1,596	$83K
V2020	Frames, purchases	10.0%	2,122	1,995	$29K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	9.8%	347	332	$28K
92002		7.4%	455	438	$21K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	5.0%	276	254	$14K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	4.3%	802	771	$12K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1.7%	338	323	$5K
92250		<1%	50	37	$688.65
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	<1%	14	13	$297.83
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	15	15	$228.35
92015	Determination of refractive state	0%	1,024	1,007	$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.