Gillispie, James
Gillispie, James was paid $60K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 45% of everything it billed.
33Billing provider infoGILLISPIE, JAMES
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1881747129assigned 01/19/2007
33bProvider typeOptometrist
28Total paid$60K
24GClaims7,885
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#235 of 698
Median peer was paid$19K
This provider vs. median3.1×
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 | 668 | $12K | |
| 2019 | 1,227 | $16K | |
| 2020 | 986 | $10K | |
| 2021 | 634 | $4K | |
| 2022 | 1,189 | $5K | |
| 2023 | 1,398 | $5K | |
| 2024incomplete | 1,783 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 45% | 1,939 | 1,861 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36% | 571 | 553 | $21K |
| 92015 | Determination of refractive state | 11% | 996 | 976 | $7K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.7% | 116 | 115 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,668 | 1,645 | $170.00 |
| V2020 | Frames, purchases | 0% | 1,541 | 1,528 | $0.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 802 | 799 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 252 | 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.