DR. Thomas Graves
DR. Thomas Graves was paid $221K by Medicaid between Jan 2018 and Sep 2020, across 12 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 26% of everything it billed.
33Billing provider infoDR. THOMAS GRAVES
GALLATIN, TN 37066
GALLATIN, TN 37066
33aNPI1861822579assigned 11/15/2013
33bProvider typeOptometrist
28Total paid$221K
24GClaims6,703
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#121 of 698
Median peer was paid$19K
This provider vs. median12×
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 | 3,162 | $107K | |
| 2019 | 2,868 | $92K | |
| 2020 | 673 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 26% | 661 | 637 | $56K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 1,558 | 1,494 | $45K |
| 92015 | Determination of refractive state | 12% | 736 | 690 | $27K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 11% | 278 | 260 | $24K |
| V2020 | Frames, purchases | 7.7% | 1,074 | 1,003 | $17K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.1% | 337 | 309 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.0% | 251 | 231 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.8% | 1,038 | 570 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.9% | 264 | 240 | $6K |
| 92002 | 2.1% | 108 | 102 | $5K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.5% | 342 | 198 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.1% | 56 | 45 | $3K |
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 officialKELLOGG, BROOKE (BILLING)