Monroe, Nicole
Monroe, Nicole was paid $139K by Medicaid between Feb 2018 and Apr 2022, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 31% of everything it billed.
33Billing provider infoMONROE, NICOLE
OLIVE BRANCH, MS 38654
OLIVE BRANCH, MS 38654
33aNPI1700862042assigned 12/19/2005
33bProvider typeOptometrist
28Total paid$139K
24GClaims4,243
24DCodes billed7
24AFirst – last monthFeb 2018 – Apr 2022
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#178 of 437
Median peer was paid$91K
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 | 58 | $1K | |
| 2019 | 664 | $23K | |
| 2020 | 1,591 | $49K | |
| 2021 | 1,508 | $51K | |
| 2022 | 422 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 31% | 639 | 600 | $43K |
| V2020 | Frames, purchases | 27% | 1,123 | 1,063 | $37K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 1,128 | 1,066 | $23K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.1% | 423 | 403 | $11K |
| 92015 | Determination of refractive state | 7.2% | 600 | 585 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.0% | 271 | 268 | $10K |
| 92002 | 2.9% | 59 | 59 | $4K |
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.