Mountain Empire Eye Physicians PLLC

Mountain Empire Eye Physicians PLLC was paid $983K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 34% of everything it billed.

33Billing provider infoMOUNTAIN EMPIRE EYE PHYSICIANS PLLC
BRISTOL, TN 37620

33aNPI1609969682assigned 10/02/2006

33bProvider typeOphthalmology Physician

28Total paid$983K

24GClaims16,872

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Tennessee

Rank by total paid#8 of 114

Median peer was paid$15K

This provider vs. median67×

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	984	$42K
2019	2,274	$113K
2020	2,112	$134K
2021	3,458	$197K
2022	3,383	$204K
2023	2,552	$165K
2024incomplete	2,109	$127K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	34%	1,868	1,508	$338K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	26%	5,404	4,658	$251K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	17%	1,784	1,659	$170K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	6.3%	1,727	1,433	$62K
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	4.5%	740	628	$44K
92136		4.1%	2,224	1,826	$40K
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	3.7%	1,009	820	$36K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.7%	530	436	$17K
66821		<1%	61	45	$6K
92060		<1%	100	100	$5K
92134		<1%	368	311	$5K
76519		<1%	234	172	$3K

4 more codes

92083		<1%	124	$3K
92133		<1%	114	$2K
92015	Determination of refractive state	<1%	40	$393.48
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	545	$119.50

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 officialPERDUE, STACY (ADMINISTRATOR)