Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Abell, Thomas

Abell, Thomas was paid $41K by Medicaid between Jun 2020 and May 2022, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.

33Billing provider infoABELL, THOMAS
CAMPBELLSVILLE, KY 42718
33aNPI1033140918assigned 07/06/2006
33bProvider typeOphthalmology Physician
28Total paid$41K
24GClaims822
24DCodes billed8
24AFirst – last monthJun 2020 – May 2022
Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#42 of 110
Median peer was paid$15K
This provider vs. median2.6×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2020807$40K
202215$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 31% 222 213 $13K
92340 Fitting of spectacles, except for aphakia; monofocal 30% 195 190 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 130 122 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.7% 89 87 $4K
92015 Determination of refractive state 3.2% 115 107 $1K
92133 1.8% 29 28 $742.12
92202 <1% 30 28 $373.20
92134 <1% 12 12 $323.02

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.