Marshall, Gregory
Marshall, Gregory was paid $912K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.
33Billing provider infoMARSHALL, GREGORY
LEXINGTON, KY 40509
LEXINGTON, KY 40509
33aNPI1144377201assigned 01/04/2007
33bProvider typeOptometrist
28Total paid$912K
24GClaims20,654
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#37 of 683
Median peer was paid$123K
This provider vs. median7.4×
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 | 2,679 | $139K | |
| 2019 | 3,079 | $136K | |
| 2020 | 2,302 | $88K | |
| 2021 | 3,396 | $152K | |
| 2022 | 3,398 | $150K | |
| 2023 | 2,918 | $130K | |
| 2024incomplete | 2,882 | $118K |
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 | 50% | 5,263 | 5,025 | $455K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 4,293 | 4,128 | $278K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 2,161 | 2,103 | $128K |
| 92015 | Determination of refractive state | 5.4% | 8,573 | 8,195 | $49K |
| V2020 | Frames, purchases | <1% | 179 | 103 | $592.50 |
| S0516 | Safety eyeglass frames | <1% | 22 | 21 | $351.56 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 22 | 21 | $206.08 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 31 | 15 | $126.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 75 | 44 | $96.00 |
| S9999 | Sales tax | <1% | 35 | 35 | $60.87 |
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.