Cornea Consultants of Nashville, PLLC

Cornea Consultants of Nashville, PLLC was paid $13K by Medicaid between Jul 2018 and Feb 2024, across 4 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 34% of everything it billed.

33Billing provider infoCORNEA CONSULTANTS OF NASHVILLE, PLLC
NASHVILLE, TN 37203

33aNPI1588744767assigned 10/16/2006

33bProvider typeOphthalmology Physician

28Total paid$13K

24GClaims636

24DCodes billed4

24AFirst – last monthJul 2018 – Feb 2024

Compared with peers

Next to other Ophthalmology Physician providers in Tennessee

Rank by total paid#59 of 114

Median peer was paid$15K

This provider vs. median0.9×

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	36	$259.78
2019	26	$1K
2020	48	$497.56
2021	82	$1K
2022	163	$3K
2023	252	$6K
2024incomplete	29	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	34%	214	174	$4K
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	33%	93	87	$4K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	30%	284	202	$4K
92015	Determination of refractive state	2.7%	45	39	$349.28

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 officialSHIVITZ, IRA (PHYSICIAN)