Mothershed Optometry Associates PLLC
Mothershed Optometry Associates PLLC was paid $66K by Medicaid between Jan 2018 and Oct 2024, across 25 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 41% of everything it billed.
33Billing provider infoMOTHERSHED OPTOMETRY ASSOCIATES PLLC
TUPELO, MS 38804
TUPELO, MS 38804
33aNPI1831140300assigned 05/12/2006
33bProvider typeOptometrist
28Total paid$66K
24GClaims14,986
24DCodes billed25
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#251 of 437
Median peer was paid$91K
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 | |
|---|---|---|---|
| 2018 | 5,512 | $27K | |
| 2019 | 5,309 | $20K | |
| 2020 | 1,812 | $9K | |
| 2021 | 1,408 | $8K | |
| 2022 | 485 | $3K | |
| 2023 | 353 | $0.00 | |
| 2024incomplete | 107 | $0.00 |
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 | 41% | 1,148 | 1,021 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 244 | 243 | $16K |
| 92015 | Determination of refractive state | 22% | 951 | 931 | $14K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 98 | 96 | $9K |
| 1036F | <1% | 1,882 | 1,747 | $289.15 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 2,376 | 2,184 | $103.74 |
| G9910 | Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period | <1% | 13 | 12 | $12.32 |
| 92134 | <1% | 12 | 12 | $11.61 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 1,791 | 1,664 | $8.24 |
| 2027F | <1% | 113 | 111 | $8.13 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 0% | 769 | 712 | $0.00 |
| 1123F | 0% | 355 | 340 | $0.00 |
13 more codes
| 3284F | 0% | 38 | $0.00 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 87 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 27 | $0.00 |
| G8938 | Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible | 0% | 89 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 956 | $0.00 |
| G8442 | Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter | 0% | 1,472 | $0.00 |
| 4040F | 0% | 1,208 | $0.00 | |
| G8482 | Influenza immunization administered or previously received | 0% | 1,194 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 79 | $0.00 |
| G8484 | Influenza immunization was not administered, reason not given | 0% | 42 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 15 | $0.00 |
| 0517F | 0% | 14 | $0.00 | |
| G9991 | Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period | 0% | 13 | $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 officialBYRD, SONDRA (BUSINESS OFFICE MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Tupelo Surgery Center, L.L.C. | Tupelo, MS | $346K |
| Wesson Ophthalmology Associates P.L.L.C. | Tupelo, MS | $22K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.