Gould, James
Gould, James was paid $2K by Medicaid between Sep 2022 and Oct 2023, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 96% of everything it billed.
33Billing provider infoGOULD, JAMES
GOODLETTSVILLE, TN 37072
GOODLETTSVILLE, TN 37072
33aNPI1700903648assigned 03/24/2007
33bProvider typeOptometrist
28Total paid$2K
24GClaims87
24DCodes billed2
24AFirst – last monthSep 2022 – Oct 2023
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#545 of 698
Median peer was paid$19K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 12 | $500.00 | |
| 2023 | 75 | $1K |
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 | 96% | 73 | 70 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.0% | 14 | 14 | $80.00 |
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.