Douglas, Craig
Douglas, Craig was paid $145K by Medicaid between Jan 2018 and Jul 2023, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.
33Billing provider infoDOUGLAS, CRAIG
LOUISVILLE, KY 40241
LOUISVILLE, KY 40241
33aNPI1003881459assigned 02/21/2006
33bProvider typeSpecialist
28Total paid$145K
24GClaims2,339
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2023
Compared with peers
Next to other Specialist providers in Kentucky
Rank by total paid#32 of 73
Median peer was paid$107K
This provider vs. median1.4×
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 | 1,066 | $68K | |
| 2019 | 841 | $51K | |
| 2020 | 346 | $22K | |
| 2021 | 60 | $2K | |
| 2023 | 26 | $2K |
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 | 32% | 665 | 654 | $46K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 447 | 428 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 747 | 669 | $27K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 18% | 421 | 362 | $26K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.3% | 59 | 57 | $5K |
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.