Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Whitlow, Robert

Whitlow, Robert was paid $624K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.

33Billing provider infoWHITLOW, ROBERT
EDMONTON, KY 42129
33aNPI1265438956assigned 06/27/2005
33bProvider typeOptometrist
28Total paid$624K
24GClaims25,694
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#65 of 683
Median peer was paid$123K
This provider vs. median5.1×

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

$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
20183,716$108K
20193,265$86K
20203,069$81K
20213,949$83K
20223,571$84K
20233,434$84K
2024incomplete4,690$98K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 32% 3,049 2,886 $198K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 22% 1,615 1,508 $139K
92340 Fitting of spectacles, except for aphakia; monofocal 16% 3,372 3,200 $98K
V2020 Frames, purchases 13% 4,554 3,647 $83K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8.4% 2,849 2,592 $52K
92015 Determination of refractive state 3.7% 4,283 4,009 $23K
V2784 Lens, polycarbonate or equal, any index, per lens 2.5% 2,792 2,314 $16K
V2760 Scratch resistant coating, per lens <1% 1,783 1,743 $3K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 547 279 $3K
S0516 Safety eyeglass frames <1% 167 166 $3K
92285 <1% 153 145 $2K
92341 <1% 58 51 $2K
3 more codes
S0504 Single vision prescription lens (safety, athletic, or sunglass), per lens <1% 162 $1K
S9999 Sales tax <1% 281 $458.49
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 29 $300.94

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.