Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Buckner, James

Buckner, James was paid $161K by Medicaid between Jan 2018 and Aug 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 75% of everything it billed.

33Billing provider infoBUCKNER, JAMES
FRANKLIN, KY 42134
33aNPI1184771545assigned 01/05/2007
33bProvider typeOptometrist
28Total paid$161K
24GClaims3,715
24DCodes billed7
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#289 of 683
Median peer was paid$123K
This provider vs. median1.3×

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
20181,597$72K
20191,572$68K
2020404$18K
2024incomplete142$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 75% 2,348 2,173 $120K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 656 613 $31K
92340 Fitting of spectacles, except for aphakia; monofocal 2.1% 144 138 $3K
V2020 Frames, purchases 1.8% 259 223 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.7% 219 202 $3K
92015 Determination of refractive state <1% 71 64 $310.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 18 18 $208.00

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.