Donelson Eyecare, PLLC
Donelson Eyecare, PLLC was paid $51K by Medicaid between Aug 2018 and Oct 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoDONELSON EYECARE, PLLC
NASHVILLE, TN 37214
NASHVILLE, TN 37214
33aNPI1548302854assigned 02/13/2007
33bProvider typeOptometrist
28Total paid$51K
24GClaims1,497
24DCodes billed6
24AFirst – last monthAug 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#253 of 698
Median peer was paid$19K
This provider vs. median2.7×
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 | 149 | $6K | |
| 2019 | 193 | $7K | |
| 2021 | 85 | $2K | |
| 2022 | 124 | $4K | |
| 2023 | 58 | $2K | |
| 2024incomplete | 888 | $30K |
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 | 32% | 202 | 174 | $16K |
| 92015 | Determination of refractive state | 29% | 416 | 377 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 22% | 374 | 184 | $11K |
| V2020 | Frames, purchases | 7.6% | 217 | 197 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.1% | 104 | 103 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.1% | 184 | 105 | $2K |
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 officialKEGARISE, JEFFREY (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Cool Springs Eyecare, PLLC | Franklin, TN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.