Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Five Rivers Eyecare PLLC

Five Rivers Eyecare PLLC was paid $975K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.

33Billing provider infoFIVE RIVERS EYECARE PLLC
MORRISTOWN, TN 37813
33aNPI1578807269assigned 11/19/2012
33bProvider typeOptometrist
28Total paid$975K
24GClaims34,206
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#26 of 698
Median peer was paid$19K
This provider vs. median51×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20183,067$77K
20194,360$113K
20203,378$88K
20213,125$83K
20226,182$166K
20237,953$243K
2024incomplete6,141$204K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 30% 6,732 6,026 $288K
92015 Determination of refractive state 18% 5,397 4,998 $175K
92250 13% 4,735 4,204 $131K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 2,186 1,962 $127K
92340 Fitting of spectacles, except for aphakia; monofocal 12% 4,275 3,987 $118K
92083 5.4% 3,562 3,032 $52K
V2020 Frames, purchases 3.3% 3,155 2,863 $32K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 1,026 868 $20K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.9% 1,425 1,098 $19K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 165 149 $3K
76512 <1% 210 103 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 91 84 $3K
11 more codes
92134 <1% 227 $2K
99214 Doctor's office visit, returning patient (more involved) <1% 93 $2K
92133 <1% 60 $1K
76514 <1% 29 $148.77
V2744 Tint, photochromatic, per lens 0% 97 $0.00
2023F 0% 481 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 37 $0.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 0% 74 $0.00
V2781 Progressive lens, per lens 0% 41 $0.00
2022F 0% 96 $0.00
V2750 Anti-reflective coating, per lens 0% 12 $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 officialYANDELL, JAMES (OD/OWNER)
Same official

Other billing entities under YANDELL, JAMES

Full network →
ProviderLocationPaid
Greeneville Vision CenterGreeneville, TN$387K
James Allen YandellMorristown, TN$11K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.