Ware, Lowell
Ware, Lowell was paid $260K by Medicaid between Jan 2018 and Jan 2020, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoWARE, LOWELL
BOWLING GREEN, KY 42101
BOWLING GREEN, KY 42101
33aNPI1003809849assigned 08/26/2005
33bProvider typeOptometrist
28Total paid$260K
24GClaims6,218
24DCodes billed12
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#214 of 683
Median peer was paid$123K
This provider vs. median2.1×
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 | 3,280 | $136K | |
| 2019 | 2,764 | $118K | |
| 2020 | 174 | $6K |
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 | 33% | 1,383 | 1,332 | $86K |
| 92250 | 21% | 1,390 | 1,289 | $55K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 21% | 905 | 890 | $53K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 477 | 463 | $42K |
| 92015 | Determination of refractive state | 3.4% | 1,367 | 1,303 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 124 | 100 | $5K |
| 92285 | 1.6% | 407 | 313 | $4K | |
| 92341 | <1% | 42 | 42 | $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% | 18 | 13 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 17 | 16 | $750.72 |
| 92083 | <1% | 13 | 13 | $457.60 | |
| V2020 | Frames, purchases | <1% | 75 | 74 | $380.00 |
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.