Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Southern Kentucky Eye Center PSC

Southern Kentucky Eye Center PSC was paid $578K by Medicaid between Jan 2018 and Nov 2024, across 12 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 80% of everything it billed.

33Billing provider infoSOUTHERN KENTUCKY EYE CENTER PSC
SOMERSET, KY 42503
33aNPI1285776476assigned 02/13/2007
33bProvider typeOptometrist
28Total paid$578K
24GClaims8,990
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#74 of 683
Median peer was paid$123K
This provider vs. median4.7×

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
20181,505$84K
20191,452$88K
20201,007$71K
20211,180$84K
20221,250$77K
20231,477$93K
2024incomplete1,119$82K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 80% 3,004 1,958 $465K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 10% 1,801 1,182 $59K
92136 4.7% 2,151 1,477 $27K
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 1.4% 473 327 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 576 355 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 255 147 $3K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 160 125 $3K
92250 <1% 171 132 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 144 95 $2K
92134 <1% 202 139 $2K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 27 24 $2K
76519 <1% 26 16 $325.50

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 officialCOOMER, TERRI (BILLING DEPT MANAGER)