Spivey, Scott
Spivey, Scott was paid $17K by Medicaid between Jul 2018 and Dec 2023, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 56% of everything it billed.
33Billing provider infoSPIVEY, SCOTT
MC KENZIE, TN 38201
MC KENZIE, TN 38201
33aNPI1861481095assigned 10/20/2005
33bProvider typeOptometrist
28Total paid$17K
24GClaims2,125
24DCodes billed5
24AFirst – last monthJul 2018 – Dec 2023
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#359 of 698
Median peer was paid$19K
This provider vs. median0.9×
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 | 18 | $112.00 | |
| 2019 | 205 | $2K | |
| 2020 | 142 | $2K | |
| 2021 | 606 | $5K | |
| 2022 | 574 | $5K | |
| 2023 | 580 | $3K |
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 | 56% | 263 | 260 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 467 | 344 | $4K |
| 92015 | Determination of refractive state | 18% | 486 | 478 | $3K |
| V2020 | Frames, purchases | <1% | 569 | 384 | $49.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 340 | 250 | $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.