Upchurch, Gary
Upchurch, Gary was paid $121K by Medicaid between Jan 2018 and Jul 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.
33Billing provider infoUPCHURCH, GARY
ALBANY, KY 42602
ALBANY, KY 42602
33aNPI1265433478assigned 08/10/2005
33bProvider typeOptometrist
28Total paid$121K
24GClaims2,842
24DCodes billed10
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#348 of 683
Median peer was paid$123K
This provider vs. median1.0×
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 | 1,659 | $83K | |
| 2019 | 839 | $30K | |
| 2020 | 169 | $5K | |
| 2021 | 45 | $600.42 | |
| 2022 | 13 | $249.64 | |
| 2023 | 15 | $242.64 | |
| 2024incomplete | 102 | $1K |
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 | 32% | 603 | 591 | $38K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 407 | 401 | $37K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 28% | 642 | 606 | $34K |
| 92015 | Determination of refractive state | 4.5% | 912 | 884 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 84 | 76 | $3K |
| V2020 | Frames, purchases | <1% | 104 | 87 | $1K |
| 92341 | <1% | 14 | 14 | $884.00 | |
| 92250 | <1% | 14 | 14 | $506.07 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 50 | 37 | $259.00 |
| S9999 | Sales tax | <1% | 12 | 12 | $22.68 |
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.