Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sunderman Dowdall

Sunderman Dowdall was paid $154K by Medicaid between Oct 2022 and Dec 2024, across 8 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 31% of everything it billed.

33Billing provider infoSUNDERMAN DOWDALL
FORT THOMAS, KY 41075
33aNPI1275292773assigned 12/12/2021
28Total paid$154K
24GClaims4,217
24DCodes billed8
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in Kentucky

Rank by total paid#1 of 12
Median peer was paid$5K
This provider vs. median32×

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
202215$262.86
20231,564$73K
2024incomplete2,638$81K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 31% 832 823 $48K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 30% 496 493 $46K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 626 612 $42K
V2020 Frames, purchases 5.1% 280 266 $8K
92015 Determination of refractive state 3.4% 1,337 1,311 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.6% 155 148 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 1.4% 265 252 $2K
V2760 Scratch resistant coating, per lens <1% 226 220 $464.80

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.

From NPPES

Who's on the registration

Authorized officialDOWDALL, TYLER (OWNER/OPTOMETRIST)