Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Antioch Eye Care Center, Physician & Surgeon, PLLC

Antioch Eye Care Center, Physician & Surgeon, PLLC was paid $510K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoANTIOCH EYE CARE CENTER, PHYSICIAN & SURGEON, PLLC
ANTIOCH, TN 37013
33aNPI1629477831assigned 08/14/2014
33bProvider typeOptometrist
28Total paid$510K
24GClaims13,281
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#48 of 698
Median peer was paid$19K
This provider vs. median27×

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$20K2018201920202021202220232024
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
2018606$14K
2019656$16K
2020257$8K
20212,368$86K
20222,621$100K
20233,765$158K
2024incomplete3,008$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 1,937 1,856 $116K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22% 3,207 2,819 $113K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 859 822 $69K
92015 Determination of refractive state 12% 2,380 2,300 $59K
92340 Fitting of spectacles, except for aphakia; monofocal 7.8% 1,342 1,324 $40K
V2784 Lens, polycarbonate or equal, any index, per lens 4.8% 923 649 $24K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.7% 394 374 $24K
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 3.5% 372 345 $18K
V2020 Frames, purchases 2.5% 740 726 $13K
92083 1.4% 219 198 $7K
92133 1.4% 317 291 $7K
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 1.1% 63 61 $5K
6 more codes
68761 <1% 54 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 143 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 170 $3K
92250 <1% 106 $3K
G8785 Blood pressure reading not documented, reason not given 0% 33 $0.00
G9905 Patient not screened for tobacco use 0% 22 $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 officialEBRAHIM, BENYAMIN (OPHTHALMOLOGIST)