Bedford Vision and Eye Clinic PLLC
Bedford Vision and Eye Clinic PLLC was paid $630K by Medicaid between Apr 2019 and Dec 2024, across 10 billing codes. Its largest line is 92015, Determination of refractive state — 28% of everything it billed.
33Billing provider infoBEDFORD VISION AND EYE CLINIC PLLC
SHELBYVILLE, TN 37160
SHELBYVILLE, TN 37160
33aNPI1992217756assigned 11/01/2017
33bProvider typeOptometrist
28Total paid$630K
24GClaims16,394
24DCodes billed10
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#40 of 698
Median peer was paid$19K
This provider vs. median33×
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 | 173 | $9K | |
| 2020 | 987 | $26K | |
| 2021 | 3,202 | $113K | |
| 2022 | 4,076 | $159K | |
| 2023 | 4,483 | $182K | |
| 2024incomplete | 3,473 | $141K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 28% | 4,345 | 4,229 | $176K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 2,467 | 2,377 | $150K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 4,051 | 3,950 | $120K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 943 | 911 | $81K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.9% | 1,213 | 1,168 | $56K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.5% | 1,356 | 1,296 | $22K |
| V2020 | Frames, purchases | 3.5% | 1,768 | 1,691 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 205 | 172 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | 13 | $476.46 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 33 | 33 | $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.
From NPPES
Who's on the registration
Authorized officialSHAMBLIN, KATHY (OWNER)