Ethier, Kenneth
Ethier, Kenneth was paid $340K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 46% of everything it billed.
33Billing provider infoETHIER, KENNETH
GREAT FALLS, MT 59405
GREAT FALLS, MT 59405
33aNPI1114061256assigned 02/19/2007
33bProvider typeOptometrist
28Total paid$340K
24GClaims8,297
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Montana
Rank by total paid#31 of 113
Median peer was paid$95K
This provider vs. median3.6×
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
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 | 1,056 | $49K | |
| 2019 | 1,161 | $55K | |
| 2020 | 1,058 | $55K | |
| 2021 | 1,650 | $59K | |
| 2022 | 1,422 | $56K | |
| 2023 | 1,356 | $50K | |
| 2024incomplete | 594 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 46% | 1,535 | 1,382 | $158K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 36% | 1,407 | 1,254 | $123K |
| 92015 | Determination of refractive state | 14% | 3,389 | 3,054 | $48K |
| 99072 | 2.3% | 1,820 | 1,686 | $8K | |
| 92225 | <1% | 146 | 138 | $3K |
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.