Conklin, John

Conklin, John was paid $15K by Medicaid between Sep 2020 and May 2024, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.

33Billing provider infoCONKLIN, JOHN
LEXINGTON, KY 40536

33aNPI1134228174assigned 09/22/2006

33bProvider typeOphthalmology Physician

28Total paid$15K

24GClaims502

24DCodes billed5

24AFirst – last monthSep 2020 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#57 of 110

Median peer was paid$15K

This provider vs. median1.0×

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
2020	82	$3K
2021	131	$4K
2022	167	$3K
2023	109	$5K
2024incomplete	13	$426.30

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	45%	236	214	$7K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	25%	55	53	$4K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	19%	82	64	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	7.8%	35	32	$1K
92015	Determination of refractive state	2.8%	94	91	$424.62

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.