Bertram, Louis
Bertram, Louis was paid $801K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoBERTRAM, LOUIS
VANCEBURG, KY 41179
VANCEBURG, KY 41179
33aNPI1215044680assigned 08/23/2006
33bProvider typeOptometrist
28Total paid$801K
24GClaims19,845
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#44 of 683
Median peer was paid$123K
This provider vs. median6.5×
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 | 1,959 | $95K | |
| 2019 | 2,839 | $115K | |
| 2020 | 2,268 | $93K | |
| 2021 | 2,986 | $115K | |
| 2022 | 3,532 | $142K | |
| 2023 | 3,343 | $127K | |
| 2024incomplete | 2,918 | $113K |
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 | 31% | 3,980 | 3,718 | $250K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 31% | 4,629 | 4,290 | $247K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 2,796 | 2,528 | $220K |
| 92250 | 4.1% | 1,212 | 1,051 | $33K | |
| 92015 | Determination of refractive state | 2.8% | 5,935 | 5,432 | $22K |
| 92341 | 2.7% | 372 | 355 | $22K | |
| V2020 | Frames, purchases | <1% | 600 | 372 | $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% | 79 | 65 | $2K |
| 92370 | <1% | 31 | 31 | $841.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 124 | 72 | $583.40 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 31 | 25 | $485.60 |
| S0516 | Safety eyeglass frames | <1% | 14 | 14 | $207.74 |
2 more codes
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.