Tri County Eye Clinic, PLLC
Tri County Eye Clinic, PLLC was paid $1.73M by Medicaid between Jan 2018 and Jul 2024, across 19 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoTRI COUNTY EYE CLINIC, PLLC
BILOXI, MS 39531
BILOXI, MS 39531
33aNPI1700859881assigned 02/09/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$1.73M
24GClaims52,822
24DCodes billed19
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Mississippi
Rank by total paid#1 of 6
Median peer was paid$36K
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 | 6,512 | $279K | |
| 2019 | 7,580 | $300K | |
| 2020 | 6,473 | $228K | |
| 2021 | 10,838 | $365K | |
| 2022 | 13,808 | $386K | |
| 2023 | 7,305 | $164K | |
| 2024incomplete | 306 | $4K |
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 | 31% | 5,230 | 4,774 | $527K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 5,319 | 4,790 | $386K |
| 92015 | Determination of refractive state | 11% | 11,860 | 10,146 | $197K |
| V2020 | Frames, purchases | 11% | 6,770 | 6,146 | $191K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 10,316 | 9,310 | $176K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.4% | 3,192 | 3,079 | $111K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.4% | 1,020 | 778 | $41K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.7% | 1,456 | 1,199 | $30K |
| 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 | 1.5% | 921 | 784 | $25K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,905 | 2,825 | $17K |
| 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% | 286 | 185 | $8K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | <1% | 98 | 93 | $7K |
7 more codes
| 92002 | <1% | 256 | $5K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 36 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 25 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 32 | $295.92 |
| 92341 | <1% | 20 | $96.00 | |
| 2026F | 0% | 2,656 | $0.00 | |
| 3072F | 0% | 424 | $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 officialBERTUCCI, GREGORY (OPHTHALMOLOGIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Popps Ferry Out-Patient Surgery Center, LLC | Biloxi, MS | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.