Nesty, Gary
Nesty, Gary was paid $402K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoNESTY, GARY
BRAZIL, IN 47834
BRAZIL, IN 47834
33aNPI1013989102assigned 02/03/2006
33bProvider typeOptometrist
28Total paid$402K
24GClaims8,474
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#131 of 743
Median peer was paid$22K
This provider vs. median18×
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 | 783 | $23K | |
| 2019 | 1,318 | $59K | |
| 2020 | 1,448 | $78K | |
| 2021 | 1,426 | $68K | |
| 2022 | 1,576 | $73K | |
| 2023 | 1,018 | $46K | |
| 2024incomplete | 905 | $55K |
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 | 30% | 1,495 | 1,336 | $121K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 1,056 | 953 | $115K |
| V2020 | Frames, purchases | 22% | 1,956 | 1,793 | $87K |
| 92015 | Determination of refractive state | 10% | 3,167 | 2,936 | $41K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.8% | 523 | 471 | $27K |
| V2755 | U-v lens, per lens | <1% | 111 | 111 | $3K |
| 92250 | <1% | 77 | 72 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 38 | 38 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $984.33 |
| 92002 | <1% | 12 | 12 | $755.63 | |
| 92083 | <1% | 14 | 14 | $489.03 | |
| 92134 | <1% | 13 | 12 | $305.07 |
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.