Watkins, Thomas
Watkins, Thomas was paid $1.83M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 27% of everything it billed.
33Billing provider infoWATKINS, THOMAS
HARLAN, KY 40831
HARLAN, KY 40831
33aNPI1225107873assigned 11/07/2006
33bProvider typeOptometrist
28Total paid$1.83M
24GClaims33,396
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#7 of 683
Median peer was paid$123K
This provider vs. median15×
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 | 12,525 | $654K | |
| 2019 | 11,129 | $493K | |
| 2020 | 3,228 | $171K | |
| 2021 | 1,833 | $146K | |
| 2022 | 1,575 | $120K | |
| 2023 | 1,864 | $143K | |
| 2024incomplete | 1,242 | $100K |
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 | 27% | 5,545 | 5,449 | $494K |
| 92065 | 16% | 5,847 | 1,496 | $299K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 4,089 | 4,005 | $273K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 3,769 | 3,682 | $262K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 11% | 5,433 | 1,427 | $203K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 11% | 5,825 | 1,486 | $197K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 1,147 | 1,079 | $47K |
| 92060 | 1.6% | 724 | 691 | $29K | |
| 92015 | Determination of refractive state | <1% | 759 | 730 | $14K |
| 92310 | <1% | 79 | 76 | $5K | |
| 92133 | <1% | 98 | 97 | $4K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 81 | 31 | $2K |
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.