Supplier
Tri-State Doctors of
Tri-State Doctors of was paid $4.16M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 32% of everything it billed.
33Billing provider infoTRI-STATE DOCTORS OF
LOUISVILLE, KY 40219
LOUISVILLE, KY 40219
33aNPI1275617276assigned 10/25/2006
33bProvider typeEyewear Supplier
28Total paid$4.16M
24GClaims181,606
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Kentucky
Rank by total paid#3 of 32
Median peer was paid$934K
This provider vs. median4.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RUBESH, GRANT controls 19+ related entities in our dataset. Read more
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 | 7,567 | $141K | |
| 2019 | 14,252 | $231K | |
| 2020 | 13,907 | $300K | |
| 2021 | 30,099 | $571K | |
| 2022 | 22,437 | $643K | |
| 2023 | 48,309 | $1.19M | |
| 2024incomplete | 45,035 | $1.08M |
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% | 24,308 | 21,292 | $1.34M |
| V2020 | Frames, purchases | 19% | 39,614 | 33,670 | $800K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 27,446 | 23,664 | $637K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15% | 38,135 | 32,448 | $613K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 8.5% | 27,257 | 23,880 | $354K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.9% | 3,776 | 2,887 | $162K |
| V2781 | Progressive lens, per lens | 1.5% | 2,125 | 1,683 | $62K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.2% | 2,428 | 2,110 | $51K |
| 92341 | <1% | 1,477 | 1,300 | $32K | |
| 92015 | Determination of refractive state | <1% | 3,095 | 2,877 | $29K |
| 92250 | <1% | 5,198 | 4,566 | $20K | |
| 92370 | <1% | 776 | 735 | $13K |
11 more codes
| 92353 | <1% | 1,076 | $12K | |
| V2750 | Anti-reflective coating, per lens | <1% | 2,708 | $8K |
| 92342 | <1% | 1,241 | $6K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 114 | $6K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 107 | $5K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 107 | $4K |
| 92310 | <1% | 187 | $4K | |
| V2744 | Tint, photochromatic, per lens | <1% | 344 | $2K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 14 | $1K |
| V2799 | Vision item or service, miscellaneous | <1% | 60 | $140.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 13 | $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.
From NPPES
Who's on the registration
Authorized officialRUBESH, GRANT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tri-State Doctors of | Bowling Green, KY | $4.34M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $3.86M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $3.58M |
| Ky Doctors of Optometry, PLLC | Elizabethtown, KY | $2.96M |
| Ky Doctors of Optometry, PLLC | Lexington, KY | $2.80M |
| Ky Doctors of Optometry, PLLC | Ashland, KY | $2.68M |
| Ky Doctors of Optometry, PLLC | Paducah, KY | $2.09M |
| Ky Doctors of Optometry, PLLC | Lexington, KY | $1.83M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $1.57M |
| Tri-State Doctors of | Owensboro, KY | $1.30M |
| Ky Doctors of Optometry, PLLC | Richmond, KY | $1.18M |
| Ky Doctors of Optometry, PLLC | Somerset, KY | $1.01M |
| Ky Doctors of Optometry, PLLC | Georgetown, KY | $934K |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $793K |
| Ky Doctors of Optometry, PLLC | Hopkinsville, KY | $790K |
| Ky Doctors of Optometry, PLLC | Florence, KY | $742K |
| Tri-State Doctors of | Louisville, KY | $620K |
| Ky Doctors of Optometry, PLLC | Frankfort, KY | $605K |
| Tri-State Doctors of | Louisville, KY | $469K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.