Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Mayes, Tyler

Mayes, Tyler was paid $382K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 34% of everything it billed.

33Billing provider infoMAYES, TYLER
CENTRAL CITY, KY 42330
33aNPI1053609420assigned 07/19/2011
33bProvider typeOptometrist
28Total paid$382K
24GClaims20,026
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#141 of 683
Median peer was paid$123K
This provider vs. median3.1×

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$10K$15K2018201920202021202220232024
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
2018178$5K
2019171$5K
20202,799$47K
20215,846$115K
20224,240$87K
20231,954$31K
2024incomplete4,838$94K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 34% 2,567 2,372 $131K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 2,059 1,863 $122K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 1,017 913 $82K
92250 4.7% 628 476 $18K
92015 Determination of refractive state 2.3% 3,558 3,213 $9K
92341 1.6% 146 126 $6K
V2020 Frames, purchases 1.5% 3,929 2,933 $6K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 714 437 $3K
S0516 Safety eyeglass frames <1% 89 89 $1K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 2,200 1,673 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 2,593 1,591 $962.00
S0504 Single vision prescription lens (safety, athletic, or sunglass), per lens <1% 89 89 $790.48
6 more codes
99214 Doctor's office visit, returning patient (more involved) <1% 13 $671.00
99213 Doctor's office visit, returning patient (routine) <1% 20 $426.30
S9999 Sales tax <1% 197 $318.51
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 17 $90.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 167 $60.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 23 $12.00

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.