Thomas, Melissa
Thomas, Melissa was paid $55K by Medicaid between Jan 2018 and Mar 2020, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 30% of everything it billed.
33Billing provider infoTHOMAS, MELISSA
LENOIR CITY, TN 37772
LENOIR CITY, TN 37772
33aNPI1982982187assigned 07/22/2011
33bProvider typeOptometrist
28Total paid$55K
24GClaims1,341
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#243 of 698
Median peer was paid$19K
This provider vs. median2.9×
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 | 574 | $22K | |
| 2019 | 604 | $26K | |
| 2020 | 163 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 30% | 572 | 553 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 190 | 183 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 22% | 386 | 376 | $12K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 193 | 185 | $11K |
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.