Utley, Dustin
Utley, Dustin was paid $167K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 54% of everything it billed.
33Billing provider infoUTLEY, DUSTIN
HUMBOLDT, TN 38343
HUMBOLDT, TN 38343
33aNPI1982832838assigned 06/30/2009
33bProvider typeOptometrist
28Total paid$167K
24GClaims18,261
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#140 of 698
Median peer was paid$19K
This provider vs. median8.8×
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 | 1,838 | $55K | |
| 2019 | 2,952 | $40K | |
| 2020 | 3,215 | $36K | |
| 2021 | 2,515 | $9K | |
| 2022 | 2,710 | $9K | |
| 2023 | 2,703 | $10K | |
| 2024incomplete | 2,328 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 54% | 5,295 | 5,215 | $91K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 822 | 799 | $41K |
| 92015 | Determination of refractive state | 19% | 988 | 972 | $32K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.9% | 36 | 36 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,595 | 3,524 | $220.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 2,014 | 1,973 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 1,276 | 1,256 | $0.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 42 | 40 | $0.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 0% | 104 | 99 | $0.00 |
| V2020 | Frames, purchases | 0% | 4,089 | 3,986 | $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.