Newcome, Kelsey
Newcome, Kelsey was paid $65K by Medicaid between Dec 2021 and Jul 2023, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoNEWCOME, KELSEY
HORSE CAVE, KY 42749
HORSE CAVE, KY 42749
33aNPI1043872914assigned 07/01/2019
33bProvider typeOptometrist
28Total paid$65K
24GClaims2,266
24DCodes billed7
24AFirst – last monthDec 2021 – Jul 2023
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#430 of 683
Median peer was paid$123K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2021 | 125 | $4K | |
| 2022 | 1,465 | $34K | |
| 2023 | 676 | $27K |
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 | 40% | 377 | 373 | $26K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 135 | 134 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 312 | 307 | $12K |
| V2020 | Frames, purchases | 14% | 389 | 315 | $9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.1% | 224 | 156 | $3K |
| 92015 | Determination of refractive state | 3.4% | 578 | 572 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.7% | 251 | 130 | $1K |
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.