Andrew W Howard, Od, PLLC
Andrew W Howard, Od, PLLC was paid $722K by Medicaid between Jan 2018 and Oct 2021, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoANDREW W HOWARD, OD, PLLC
LA FOLLETTE, TN 37766
LA FOLLETTE, TN 37766
33aNPI1851505366assigned 05/10/2007
33bProvider typeOptometrist
28Total paid$722K
24GClaims21,369
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#37 of 698
Median peer was paid$19K
This provider vs. median38×
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 | 5,424 | $177K | |
| 2019 | 6,762 | $234K | |
| 2020 | 4,749 | $158K | |
| 2021 | 4,434 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 4,248 | 4,008 | $213K |
| 92015 | Determination of refractive state | 17% | 6,612 | 5,929 | $122K |
| 92250 | 14% | 2,938 | 2,781 | $99K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 1,322 | 1,249 | $98K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12% | 1,437 | 1,401 | $87K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.8% | 2,171 | 2,127 | $64K |
| V2020 | Frames, purchases | 3.8% | 1,974 | 1,910 | $27K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 355 | 345 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 103 | 90 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 119 | 117 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 18 | 12 | $456.19 |
| 92133 | <1% | 12 | 12 | $327.27 |
2 more codes
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 officialHOWARD, ANDREW (CHIEF MANAGER)