Evans, Frank
Evans, Frank was paid $318K by Medicaid between Jan 2018 and Nov 2024, across 28 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.
33Billing provider infoEVANS, FRANK
CALHOUN CITY, MS 38916
CALHOUN CITY, MS 38916
33aNPI1972517506assigned 07/28/2006
33bProvider typeOptometrist
28Total paid$318K
24GClaims23,261
24DCodes billed28
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Mississippi
Rank by total paid#103 of 437
Median peer was paid$91K
This provider vs. median3.5×
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 | 4,523 | $65K | |
| 2019 | 4,675 | $67K | |
| 2020 | 3,845 | $51K | |
| 2021 | 3,663 | $45K | |
| 2022 | 3,049 | $42K | |
| 2023 | 2,221 | $27K | |
| 2024incomplete | 1,285 | $21K |
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 | 45% | 2,347 | 2,183 | $144K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 13% | 1,028 | 973 | $42K |
| 92015 | Determination of refractive state | 11% | 1,940 | 1,736 | $36K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 1,988 | 1,792 | $32K |
| V2020 | Frames, purchases | 7.1% | 780 | 706 | $23K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 436 | 388 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 101 | 98 | $10K |
| 92083 | 2.0% | 932 | 530 | $6K | |
| 92250 | 1.3% | 906 | 509 | $4K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 26 | 26 | $651.20 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 20 | 16 | $617.83 |
| 92020 | <1% | 80 | 80 | $315.31 |
16 more codes
| 92226 | <1% | 91 | $236.18 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 18 | $21.63 |
| 1036F | <1% | 3,115 | $14.28 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 235 | $7.00 |
| 2022F | <1% | 142 | $0.07 | |
| 3072F | <1% | 41 | $0.01 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 3,566 | $0.00 |
| 3284F | 0% | 751 | $0.00 | |
| 4177F | 0% | 59 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 171 | $0.00 |
| 5010F | 0% | 171 | $0.00 | |
| 2027F | 0% | 621 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 3,224 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 128 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 331 | $0.00 |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 13 | $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.