Supplier
Tri-State Doctors of
Tri-State Doctors of was paid $4.34M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoTRI-STATE DOCTORS OF
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
33aNPI1306920632assigned 10/24/2006
33bProvider typeEyewear Supplier
28Total paid$4.34M
24GClaims178,767
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Kentucky
Rank by total paid#2 of 32
Median peer was paid$934K
This provider vs. median4.6×
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.
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 | 10,592 | $260K | |
| 2019 | 16,233 | $346K | |
| 2020 | 17,976 | $460K | |
| 2021 | 25,624 | $694K | |
| 2022 | 25,433 | $676K | |
| 2023 | 44,484 | $1.02M | |
| 2024incomplete | 38,425 | $883K |
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 | 34% | 27,856 | 25,260 | $1.49M |
| V2020 | Frames, purchases | 21% | 41,206 | 37,064 | $931K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 38,260 | 34,343 | $705K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 18,752 | 17,015 | $435K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.4% | 6,765 | 5,939 | $321K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.0% | 23,052 | 20,939 | $173K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.0% | 3,355 | 3,044 | $86K |
| V2781 | Progressive lens, per lens | <1% | 1,543 | 1,184 | $34K |
| 92370 | <1% | 1,814 | 1,721 | $31K | |
| V2750 | Anti-reflective coating, per lens | <1% | 7,845 | 6,615 | $30K |
| 92341 | <1% | 1,146 | 1,038 | $25K | |
| 92015 | Determination of refractive state | <1% | 2,919 | 2,694 | $19K |
18 more codes
| 92353 | <1% | 999 | $18K | |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 97 | $9K |
| V2599 | Contact lens, other type | <1% | 134 | $8K |
| 92250 | <1% | 1,497 | $8K | |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 69 | $7K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 138 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 44 | $2K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | <1% | 15 | $2K |
| 92310 | <1% | 169 | $2K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 14 | $460.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 18 | $370.80 |
| V2760 | Scratch resistant coating, per lens | <1% | 116 | $307.50 |
| 92342 | <1% | 284 | $163.02 | |
| V2799 | Vision item or service, miscellaneous | <1% | 146 | $45.00 |
| V2744 | Tint, photochromatic, per lens | 0% | 44 | $0.00 |
| S0500 | Disposable contact lens, per lens | 0% | 128 | $0.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 115 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 227 | $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 | Louisville, KY | $4.16M |
| 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.