Heritage Eye Care
Heritage Eye Care was paid $41K by Medicaid between Mar 2019 and May 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoHERITAGE EYE CARE
MADISON, AL 35758
MADISON, AL 35758
33aNPI1720506876assigned 09/08/2017
33bProvider typeOptometrist
28Total paid$41K
24GClaims2,141
24DCodes billed4
24AFirst – last monthMar 2019 – May 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#194 of 346
Median peer was paid$59K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2019 | 271 | $6K | |
| 2020 | 483 | $11K | |
| 2021 | 299 | $4K | |
| 2022 | 390 | $7K | |
| 2023 | 530 | $9K | |
| 2024incomplete | 168 | $3K |
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 | 34% | 177 | 164 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 31% | 853 | 734 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 129 | 117 | $7K |
| 92015 | Determination of refractive state | 17% | 982 | 853 | $7K |
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 officialDAVIS, CHAD (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pathway Eye Athens | Athens, AL | $461K |
| Chattanooga Eye Care | Chattanooga, TN | $220K |
| Pathway Eye Huntsville, LLC | Huntsville, AL | $69K |
| Rogersville Eye Clinic | Rogersville, AL | $44K |
| Nagan, Arregui, & Davis, MDS, INC | Indianapolis, IN | $38K |
| Pathway Eye Decatur, LLC | Decatur, AL | $216.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.