Supplier
Complete Eye Care, PC
Complete Eye Care, PC was paid $107K by Medicaid between Jan 2018 and Mar 2023, across 18 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 39% of everything it billed.
33Billing provider infoCOMPLETE EYE CARE, PC
SODDY DAISY, TN 37379
SODDY DAISY, TN 37379
33aNPI1578773263assigned 05/23/2007
33bProvider typeEyewear Supplier
28Total paid$107K
24GClaims5,390
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Eyewear Supplier providers in Tennessee
Rank by total paid#40 of 68
Median peer was paid$155K
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 | 1,780 | $36K | |
| 2019 | 1,522 | $33K | |
| 2020 | 707 | $13K | |
| 2021 | 711 | $13K | |
| 2022 | 524 | $9K | |
| 2023 | 146 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 2,082 | 1,609 | $41K |
| 92015 | Determination of refractive state | 26% | 1,819 | 1,448 | $28K |
| 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 | 8.7% | 254 | 193 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.7% | 146 | 127 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.5% | 262 | 238 | $7K |
| 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 | 5.7% | 228 | 179 | $6K |
| V2020 | Frames, purchases | 2.4% | 192 | 173 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 142 | 127 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 14 | 12 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 17 | 14 | $769.17 |
| 92083 | <1% | 34 | 24 | $532.25 | |
| 92133 | <1% | 31 | 26 | $364.65 |
6 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 23 | $360.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 18 | $194.39 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 15 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 48 | $0.00 |
| 1036F | 0% | 47 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 18 | $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 officialBONNER, JOHN (PRESIDENT)