Bowersox, Daniel
Bowersox, Daniel was paid $149K by Medicaid between Jan 2018 and Aug 2019, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 19% of everything it billed.
33Billing provider infoBOWERSOX, DANIEL
SHELBYVILLE, KY 40065
SHELBYVILLE, KY 40065
33aNPI1013972405assigned 04/19/2006
33bProvider typeOptometrist
28Total paid$149K
24GClaims5,470
24DCodes billed15
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#302 of 683
Median peer was paid$123K
This provider vs. median1.2×
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 | 3,488 | $100K | |
| 2019 | 1,982 | $49K |
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 | 19% | 416 | 398 | $29K |
| 92065 | 15% | 860 | 337 | $23K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 204 | 202 | $19K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 12% | 861 | 337 | $19K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 12% | 853 | 334 | $18K |
| V2020 | Frames, purchases | 6.1% | 367 | 348 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.8% | 267 | 259 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.6% | 327 | 309 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.7% | 352 | 334 | $4K |
| 96111 | 2.6% | 91 | 82 | $4K | |
| 92060 | 2.6% | 108 | 98 | $4K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 77 | 68 | $3K |
3 more codes
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.