Selma Family Practice Optometry, INC.
Selma Family Practice Optometry, INC. was paid $1.17M by Medicaid between Jan 2018 and Nov 2023, across 36 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
33Billing provider infoSELMA FAMILY PRACTICE OPTOMETRY, INC.
SELMA, AL 36701
SELMA, AL 36701
33aNPI1871677260assigned 10/24/2006
33bProvider typeOptometrist
28Total paid$1.17M
24GClaims55,881
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#11 of 346
Median peer was paid$59K
This provider vs. median20×
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 | 15,609 | $244K | |
| 2019 | 12,784 | $232K | |
| 2020 | 8,475 | $187K | |
| 2021 | 8,120 | $205K | |
| 2022 | 5,842 | $158K | |
| 2023 | 5,051 | $146K |
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 | 22% | 4,757 | 4,416 | $256K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 2,910 | 2,728 | $213K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 3,706 | 3,463 | $139K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 7,981 | 7,373 | $124K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.6% | 4,161 | 3,306 | $77K |
| 92015 | Determination of refractive state | 6.2% | 9,686 | 8,893 | $73K |
| 92083 | 5.8% | 3,221 | 2,674 | $68K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 4.7% | 2,216 | 1,837 | $55K |
| 92273 | 3.7% | 1,014 | 924 | $44K | |
| 92133 | 3.1% | 2,797 | 2,307 | $36K | |
| 92250 | 2.6% | 1,025 | 951 | $30K | |
| 92020 | 2.0% | 1,897 | 1,631 | $23K |
24 more codes
| 92132 | 1.1% | 682 | $13K | |
| 92134 | <1% | 569 | $6K | |
| 76514 | <1% | 612 | $5K | |
| 92275 | <1% | 247 | $4K | |
| 92341 | <1% | 242 | $3K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 32 | $322.94 |
| 92284 | <1% | 20 | $264.00 | |
| 92285 | <1% | 14 | $218.88 | |
| G8421 | Bmi not documented and no reason is given | 0% | 156 | $0.00 |
| 2022F | 0% | 275 | $0.00 | |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 581 | $0.00 |
| 2027F | 0% | 745 | $0.00 | |
| 4004F | 0% | 292 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 180 | $0.00 |
| M1210 | At least two orders for high-risk medications from the same drug class, (table 4), not ordered | 0% | 12 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 99 | $0.00 |
| 3046F | 0% | 95 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 1,444 | $0.00 |
| G9366 | One high-risk medication not ordered | 0% | 586 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,634 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 454 | $0.00 |
| 3284F | 0% | 818 | $0.00 | |
| 1036F | 0% | 538 | $0.00 | |
| G8756 | No documentation of blood pressure measurement, reason not given | 0% | 183 | $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 officialSMITH, WILLIE (OPTICIAN)
| Provider | Location | Paid |
|---|---|---|
| Smith Transportation Services LLC | San Jose, CA | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.