Sweetnam, Gene
Sweetnam, Gene was paid $106K by Medicaid between Oct 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoSWEETNAM, GENE
BURKE, VA 22015
BURKE, VA 22015
33aNPI1972560241assigned 04/28/2006
33bProvider typeOptometrist
28Total paid$106K
24GClaims2,972
24DCodes billed7
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#141 of 491
Median peer was paid$23K
This provider vs. median4.6×
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 | 51 | $923.53 | |
| 2019 | 89 | $2K | |
| 2020 | 81 | $2K | |
| 2021 | 501 | $15K | |
| 2022 | 487 | $16K | |
| 2023 | 793 | $31K | |
| 2024incomplete | 970 | $39K |
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 | 28% | 285 | 274 | $29K |
| 92250 | 23% | 855 | 776 | $24K | |
| 92025 | 22% | 780 | 744 | $24K | |
| 92015 | Determination of refractive state | 12% | 796 | 749 | $13K |
| 92060 | 11% | 211 | 205 | $12K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.0% | 29 | 26 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.4% | 16 | 16 | $2K |
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.