Ketchum, Eric
Ketchum, Eric was paid $214K by Medicaid between Oct 2020 and Dec 2024, across 13 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 30% of everything it billed.
33Billing provider infoKETCHUM, ERIC
EMORY, TX 75440
EMORY, TX 75440
33aNPI1275820649assigned 07/06/2011
33bProvider typeOptometrist
28Total paid$214K
24GClaims10,748
24DCodes billed13
24AFirst – last monthOct 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#220 of 1,408
Median peer was paid$30K
This provider vs. median7.1×
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
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 | |
|---|---|---|---|
| 2020 | 684 | $12K | |
| 2021 | 2,909 | $58K | |
| 2022 | 2,547 | $47K | |
| 2023 | 2,659 | $52K | |
| 2024incomplete | 1,949 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 30% | 1,054 | 1,017 | $64K |
| V2020 | Frames, purchases | 27% | 2,907 | 2,776 | $58K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 19% | 2,870 | 1,854 | $41K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 12% | 398 | 393 | $25K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.0% | 2,370 | 1,364 | $13K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 380 | 376 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 28 | 26 | $3K |
| 92015 | Determination of refractive state | 1.1% | 248 | 243 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 153 | 147 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | 12 | $1K |
| V2750 | Anti-reflective coating, per lens | <1% | 12 | 12 | $323.26 |
| G9905 | Patient not screened for tobacco use | 0% | 43 | 41 | $0.00 |
1 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 273 | $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.