Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ballard, Amanda

Ballard, Amanda was paid $319K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 27% of everything it billed.

33Billing provider infoBALLARD, AMANDA
LEBANON, KY 40033
33aNPI1285969055assigned 10/12/2009
33bProvider typeOptometrist
28Total paid$319K
24GClaims10,946
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#172 of 683
Median peer was paid$123K
This provider vs. median2.6×

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
20181,031$39K
20191,098$36K
2020903$27K
2021334$7K
2022234$6K
20233,556$98K
2024incomplete3,790$106K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 27% 900 883 $85K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 26% 1,191 1,165 $82K
V2020 Frames, purchases 13% 1,835 1,542 $42K
92340 Fitting of spectacles, except for aphakia; monofocal 11% 1,130 1,069 $35K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 6.2% 445 430 $20K
92002 4.7% 292 285 $15K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.0% 879 719 $13K
92015 Determination of refractive state 2.5% 2,379 2,314 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.5% 333 301 $8K
V2784 Lens, polycarbonate or equal, any index, per lens 1.4% 854 697 $5K
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% 50 43 $2K
92250 <1% 55 51 $2K
6 more codes
V2760 Scratch resistant coating, per lens <1% 451 $858.98
S0516 Safety eyeglass frames <1% 29 $463.42
92341 <1% 13 $449.00
S0504 Single vision prescription lens (safety, athletic, or sunglass), per lens <1% 30 $282.30
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 16 $250.00
S9999 Sales tax <1% 64 $91.29

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.