Eye Care Group, PLLC
Eye Care Group, PLLC was paid $365K by Medicaid between Jan 2018 and Dec 2018, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.
33Billing provider infoEYE CARE GROUP, PLLC
HUMBOLDT, TN 38343
HUMBOLDT, TN 38343
33aNPI1881620169assigned 06/25/2006
33bProvider typeOptometrist
28Total paid$365K
24GClaims14,094
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#73 of 698
Median peer was paid$19K
This provider vs. median19×
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 | 14,094 | $365K |
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 | 25% | 1,791 | 1,733 | $92K |
| 92015 | Determination of refractive state | 18% | 2,122 | 2,045 | $65K |
| 92250 | 18% | 2,716 | 2,640 | $65K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 1,627 | 1,544 | $47K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.1% | 454 | 429 | $33K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.6% | 408 | 390 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.8% | 3,089 | 1,517 | $21K |
| V2020 | Frames, purchases | 4.7% | 1,789 | 1,675 | $17K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 72 | 64 | $1K |
| 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% | 26 | 24 | $385.31 |
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 officialLEWIS, LINDY (CHIEF MANAGER)