Smith, James
Smith, James was paid $27K by Medicaid between Apr 2019 and Oct 2020, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 44% of everything it billed.
33Billing provider infoSMITH, JAMES
HENDERSONVILLE, TN 37075
HENDERSONVILLE, TN 37075
33aNPI1942565536assigned 07/10/2012
33bProvider typeOptometrist
28Total paid$27K
24GClaims654
24DCodes billed5
24AFirst – last monthApr 2019 – Oct 2020
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#306 of 698
Median peer was paid$19K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2019 | 353 | $14K | |
| 2020 | 301 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 44% | 269 | 266 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 32% | 274 | 269 | $9K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 66 | 66 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 9.1% | 33 | 32 | $2K |
| 92002 | 2.8% | 12 | 12 | $745.20 |
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.