ST. Tammany Eye Care LLC

ST. Tammany Eye Care LLC was paid $206K by Medicaid between Mar 2018 and Dec 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.

33Billing provider infoST. TAMMANY EYE CARE LLC
COVINGTON, LA 70433

33aNPI1689107062assigned 04/04/2017

33bProvider typeClinic/Center

28Total paid$206K

24GClaims8,996

24DCodes billed12

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Clinic/Center providers in Louisiana

Rank by total paid#49 of 112

Median peer was paid$138K

This provider vs. median1.5×

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	12	$903.72
2019	123	$5K
2020	45	$1K
2021	192	$4K
2022	1,057	$25K
2023	3,763	$75K
2024incomplete	3,804	$95K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	37%	1,136	904	$76K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	23%	952	761	$48K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	14%	1,239	952	$28K
V2020	Frames, purchases	10%	1,500	1,121	$21K
92015	Determination of refractive state	5.5%	2,206	1,758	$11K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	3.9%	283	206	$8K
99211	Office or other outpatient visit for the evaluation and management of an established patient, minimal severity	2.8%	599	508	$6K
92340	Fitting of spectacles, except for aphakia; monofocal	2.5%	742	513	$5K
92250		<1%	46	37	$1K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	13	12	$690.66
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	241	160	$568.00
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	39	13	$183.35

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 officialHICKMAN, AMANDA (OWNER)