Hesse, Matt
Hesse, Matt was paid $1.09M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.
33Billing provider infoHESSE, MATT
MONTICELLO, KY 42633
MONTICELLO, KY 42633
33aNPI1265597066assigned 12/22/2006
33bProvider typeOptometrist
28Total paid$1.09M
24GClaims22,783
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#19 of 683
Median peer was paid$123K
This provider vs. median8.9×
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 | 2,925 | $146K | |
| 2019 | 4,381 | $236K | |
| 2020 | 4,454 | $196K | |
| 2021 | 5,358 | $235K | |
| 2022 | 4,098 | $226K | |
| 2023 | 1,000 | $47K | |
| 2024incomplete | 567 | $7K |
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 | 40% | 6,903 | 6,529 | $441K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 28% | 5,245 | 4,872 | $312K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 2,474 | 2,360 | $214K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.6% | 1,486 | 1,177 | $50K |
| 92015 | Determination of refractive state | 2.3% | 4,435 | 4,180 | $25K |
| 92341 | 1.9% | 331 | 321 | $21K | |
| 92370 | 1.4% | 554 | 516 | $15K | |
| V2020 | Frames, purchases | 1.1% | 851 | 569 | $12K |
| 92065 | <1% | 57 | 26 | $2K | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 53 | 25 | $1K |
| S0516 | Safety eyeglass frames | <1% | 53 | 53 | $846.94 |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 34 | 12 | $651.96 |
5 more codes
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 53 | $478.52 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 16 | $443.10 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 24 | $232.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 148 | $230.00 |
| S9999 | Sales tax | <1% | 66 | $145.98 |
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.