Dumesnil, Karen
Dumesnil, Karen was paid $80K by Medicaid between Apr 2021 and Jul 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.
33Billing provider infoDUMESNIL, KAREN
NATCHITOCHES, LA 71457
NATCHITOCHES, LA 71457
33aNPI1558978700assigned 09/30/2020
33bProvider typeOptometrist
28Total paid$80K
24GClaims3,039
24DCodes billed7
24AFirst – last monthApr 2021 – Jul 2024
Compared with peers
Next to other Optometrist providers in Louisiana
Rank by total paid#288 of 442
Median peer was paid$199K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2021 | 1,430 | $37K | |
| 2022 | 1,583 | $40K | |
| 2023 | 12 | $1K | |
| 2024incomplete | 14 | $1K |
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 | 45% | 523 | 509 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 258 | 250 | $22K |
| V2020 | Frames, purchases | 11% | 634 | 560 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 6.4% | 375 | 374 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.0% | 288 | 252 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.3% | 155 | 146 | $3K |
| 92015 | Determination of refractive state | 0% | 806 | 717 | $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.