Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Burks, Tommy

Burks, Tommy was paid $124K by Medicaid between Jan 2018 and Jun 2023, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.

33Billing provider infoBURKS, TOMMY
COLUMBIA, TN 38401
33aNPI1740290881assigned 08/09/2006
33bProvider typeOptometrist
28Total paid$124K
24GClaims5,070
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2023
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#170 of 698
Median peer was paid$19K
This provider vs. median6.5×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
20181,365$39K
2019825$16K
2020626$13K
2021907$24K
2022977$24K
2023370$8K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 43% 1,151 1,129 $54K
S0621 Routine ophthalmological examination including refraction; established patient 23% 448 423 $28K
92340 Fitting of spectacles, except for aphakia; monofocal 15% 1,190 1,156 $19K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10% 295 288 $13K
V2783 Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens 4.2% 70 67 $5K
V2020 Frames, purchases 2.5% 921 897 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.6% 476 465 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 519 507 $100.00

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.