Keplinger, Brian
Keplinger, Brian was paid $238K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 24% of everything it billed.
33Billing provider infoKEPLINGER, BRIAN
FRANKFORT, KY 40601
FRANKFORT, KY 40601
33aNPI1245233071assigned 05/24/2005
33bProvider typeOptometrist
28Total paid$238K
24GClaims9,456
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#235 of 683
Median peer was paid$123K
This provider vs. median1.9×
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 | 2,021 | $61K | |
| 2019 | 1,407 | $37K | |
| 2020 | 831 | $20K | |
| 2021 | 1,073 | $25K | |
| 2022 | 1,160 | $25K | |
| 2023 | 1,476 | $34K | |
| 2024incomplete | 1,488 | $37K |
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 | 24% | 857 | 843 | $57K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 451 | 446 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 1,256 | 1,233 | $38K |
| V2020 | Frames, purchases | 16% | 1,969 | 1,671 | $37K |
| 92015 | Determination of refractive state | 9.3% | 2,204 | 2,145 | $22K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.2% | 956 | 905 | $19K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.5% | 144 | 138 | $8K |
| 92250 | 2.6% | 170 | 164 | $6K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.4% | 923 | 796 | $6K |
| V2760 | Scratch resistant coating, per lens | <1% | 468 | 453 | $1K |
| 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% | 14 | 12 | $596.82 |
| 92226 | <1% | 27 | 16 | $579.14 |
1 more codes
| 2023F | 0% | 17 | $0.00 |
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.