Ditto & Musick PLLC
Ditto & Musick PLLC was paid $978K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoDITTO & MUSICK PLLC
NICHOLASVILLE, KY 40356
NICHOLASVILLE, KY 40356
33aNPI1154794352assigned 11/10/2015
33bProvider typeOptometrist
28Total paid$978K
24GClaims40,501
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#30 of 683
Median peer was paid$123K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2018 | 941 | $26K | |
| 2019 | 8,178 | $195K | |
| 2020 | 9,290 | $212K | |
| 2021 | 9,896 | $227K | |
| 2022 | 2,145 | $51K | |
| 2023 | 5,806 | $152K | |
| 2024incomplete | 4,245 | $115K |
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 | 35% | 5,669 | 5,292 | $346K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 2,129 | 2,016 | $181K |
| V2020 | Frames, purchases | 18% | 5,953 | 5,593 | $172K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 5,253 | 4,916 | $146K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.0% | 3,170 | 2,700 | $49K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.8% | 5,102 | 4,751 | $37K |
| 92015 | Determination of refractive state | 2.5% | 8,860 | 8,205 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 555 | 486 | $8K |
| V2760 | Scratch resistant coating, per lens | <1% | 3,257 | 2,958 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 83 | 79 | $3K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 214 | 185 | $3K |
| 92370 | <1% | 105 | 96 | $3K |
4 more codes
| V2750 | Anti-reflective coating, per lens | <1% | 112 | $1K |
| 92341 | <1% | 12 | $396.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $209.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | $177.00 |
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.
From NPPES
Who's on the registration
Authorized officialMUSICK, JOHN (PRESIDENT)