Kirby, Thomas
Kirby, Thomas was paid $260K by Medicaid between May 2018 and Nov 2024, across 12 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 47% of everything it billed.
33Billing provider infoKIRBY, THOMAS
WHITEVILLE, NC 28472
WHITEVILLE, NC 28472
33aNPI1265484737assigned 05/16/2006
33bProvider typeOptometrist
28Total paid$260K
24GClaims9,257
24DCodes billed12
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in North Carolina
Rank by total paid#107 of 636
Median peer was paid$41K
This provider vs. median6.4×
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 | 1,702 | $24K | |
| 2019 | 891 | $17K | |
| 2020 | 2,212 | $41K | |
| 2021 | 1,657 | $34K | |
| 2022 | 650 | $40K | |
| 2023 | 1,232 | $62K | |
| 2024incomplete | 913 | $43K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 47% | 1,436 | 1,288 | $123K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 39% | 1,391 | 1,275 | $102K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.5% | 367 | 285 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.9% | 518 | 509 | $10K |
| 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 | 1.8% | 124 | 80 | $5K |
| 92370 | 1.8% | 651 | 641 | $5K | |
| 92250 | <1% | 134 | 94 | $2K | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,422 | 1,125 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 294 | 267 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 455 | 388 | $0.00 |
| 1036F | 0% | 1,362 | 1,082 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 1,103 | 928 | $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.