Summers, Joseph
Summers, Joseph was paid $345K by Medicaid between Oct 2018 and Dec 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 66% of everything it billed.
33Billing provider infoSUMMERS, JOSEPH
ARRINGTON, TN 37014
ARRINGTON, TN 37014
33aNPI1902961402assigned 12/26/2006
33bProvider typeOptometrist
28Total paid$345K
24GClaims11,974
24DCodes billed7
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#79 of 698
Median peer was paid$19K
This provider vs. median18×
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 | $1K | |
| 2019 | 1,052 | $40K | |
| 2020 | 2,090 | $52K | |
| 2021 | 2,723 | $77K | |
| 2022 | 2,436 | $69K | |
| 2023 | 2,324 | $67K | |
| 2024incomplete | 1,335 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 66% | 5,156 | 4,993 | $227K |
| 92015 | Determination of refractive state | 26% | 5,746 | 5,604 | $91K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.9% | 532 | 531 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 13 | 13 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 197 | 145 | $1K |
| 92083 | <1% | 165 | 129 | $829.00 | |
| 92020 | <1% | 165 | 129 | $468.72 |
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.