Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Anderson, Edwin

Anderson, Edwin was paid $60K by Medicaid between Jan 2018 and Oct 2021, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.

33Billing provider infoANDERSON, EDWIN
DRESDEN, TN 38225
33aNPI1609833227assigned 04/27/2006
33bProvider typeOptometrist
28Total paid$60K
24GClaims2,472
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#233 of 698
Median peer was paid$19K
This provider vs. median3.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2018724$22K
2019754$17K
2020802$18K
2021192$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 36% 646 573 $21K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27% 384 338 $16K
92015 Determination of refractive state 25% 917 838 $15K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 404 397 $8K
V2020 Frames, purchases 0% 108 103 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 13 13 $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.