MS Eye Care PA
MS Eye Care PA was paid $4.37M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoMS EYE CARE PA
MERIDIAN, MS 39301
MERIDIAN, MS 39301
33aNPI1639530454assigned 03/08/2016
33bProvider typeOptometrist
28Total paid$4.37M
24GClaims150,230
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#1 of 437
Median peer was paid$91K
This provider vs. median48×
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 | 20,170 | $444K | |
| 2019 | 19,870 | $471K | |
| 2020 | 17,361 | $475K | |
| 2021 | 21,357 | $686K | |
| 2022 | 24,509 | $855K | |
| 2023 | 31,097 | $941K | |
| 2024incomplete | 15,866 | $497K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 39% | 25,632 | 22,855 | $1.71M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 7,187 | 6,559 | $639K |
| V2020 | Frames, purchases | 14% | 23,473 | 20,885 | $610K |
| 92015 | Determination of refractive state | 9.5% | 31,263 | 28,256 | $417K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 6.0% | 3,772 | 3,543 | $264K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.9% | 19,532 | 17,398 | $258K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.5% | 5,788 | 5,061 | $155K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.2% | 10,374 | 8,891 | $98K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.7% | 2,606 | 2,205 | $75K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.6% | 2,380 | 1,976 | $70K |
| 92250 | <1% | 2,594 | 2,252 | $35K | |
| 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 | <1% | 477 | 353 | $16K |
24 more codes
| 83861 | <1% | 1,764 | $14K | |
| 99305 | <1% | 102 | $4K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 114 | $2K |
| V2430 | Variable asphericity lens, bifocal, full field, glass or plastic, per lens | <1% | 13 | $1K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 65 | $1K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 18 | $917.33 |
| 92341 | <1% | 133 | $901.32 | |
| 92083 | <1% | 77 | $607.95 | |
| 92133 | <1% | 99 | $328.98 | |
| 92273 | <1% | 20 | $249.88 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,163 | $177.61 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | <1% | 1,767 | $85.01 |
| 1036F | <1% | 4,344 | $50.22 | |
| 3284F | 0% | 144 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,542 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 14 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 842 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 513 | $0.00 |
| 2027F | 0% | 190 | $0.00 | |
| 2022F | 0% | 79 | $0.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 49 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 59 | $0.00 |
| 5010F | 0% | 14 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 27 | $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 officialWOMBLE, TAMMY (CREDENTIALING)
Parent organizationMS EYE CARE PLA
| Provider | Location | Paid |
|---|---|---|
| MS Eye Care PA | Louisville, MS | $620K |
| MS Eye Care PA | Starkville, MS | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.