Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

West, Justin

West, Justin was paid $207K by Medicaid between Dec 2020 and Sep 2024, across 5 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 77% of everything it billed.

33Billing provider infoWEST, JUSTIN
LONDON, KY 40741
33aNPI1235591355assigned 03/28/2016
33bProvider typeOphthalmology Physician
28Total paid$207K
24GClaims1,510
24DCodes billed5
24AFirst – last monthDec 2020 – Sep 2024
Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#13 of 110
Median peer was paid$15K
This provider vs. median13×

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
202019$1K
2021238$17K
2022681$71K
2023402$78K
2024incomplete170$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 77% 410 377 $160K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.1% 170 159 $15K
92136 7.1% 552 493 $15K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.3% 140 125 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.2% 238 222 $9K

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.