Cole, Kenneth
Cole, Kenneth was paid $8K by Medicaid between Jan 2018 and Nov 2022, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoCOLE, KENNETH
PRINCETON, WV 24740
PRINCETON, WV 24740
33aNPI1245682608assigned 07/11/2016
33bProvider typeOptometrist
28Total paid$8K
24GClaims248
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#97 of 115
Median peer was paid$82K
This provider vs. median0.1×
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 | 73 | $3K | |
| 2019 | 13 | $40.00 | |
| 2022 | 162 | $5K |
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 | 33% | 38 | 33 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 40 | 33 | $3K |
| V2020 | Frames, purchases | 21% | 66 | 52 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.1% | 22 | 14 | $498.80 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.5% | 34 | 27 | $447.00 |
| 92015 | Determination of refractive state | 3.1% | 48 | 44 | $251.00 |
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.