Boushehri, Mana
Boushehri, Mana was paid $161K by Medicaid between Mar 2018 and Dec 2018, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoBOUSHEHRI, MANA
CORDOVA, TN 38016
CORDOVA, TN 38016
33aNPI1851731145assigned 07/01/2013
33bProvider typeOptometrist
28Total paid$161K
24GClaims4,331
24DCodes billed13
24AFirst – last monthMar 2018 – Dec 2018
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#149 of 698
Median peer was paid$19K
This provider vs. median8.5×
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
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 | 4,331 | $161K |
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 | 31% | 785 | 703 | $49K |
| 92015 | Determination of refractive state | 24% | 1,281 | 1,126 | $38K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 435 | 389 | $35K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.5% | 609 | 570 | $14K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.0% | 163 | 148 | $10K |
| V2020 | Frames, purchases | 3.3% | 356 | 334 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 121 | 99 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.9% | 202 | 190 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 45 | 44 | $659.60 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 44 | 43 | $654.64 |
| 82962 | <1% | 97 | 70 | $160.19 | |
| 36416 | <1% | 98 | 71 | $107.51 |
1 more codes
| 3008F | 0% | 95 | $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.