Sutherland, Scott
Sutherland, Scott was paid $233K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoSUTHERLAND, SCOTT
CADIZ, KY 42211
CADIZ, KY 42211
33aNPI1326008418assigned 03/24/2006
33bProvider typeOptometrist
28Total paid$233K
24GClaims6,825
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#238 of 683
Median peer was paid$123K
This provider vs. median1.9×
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 | |
|---|---|---|---|
| 2018 | 727 | $27K | |
| 2019 | 1,088 | $34K | |
| 2020 | 1,004 | $33K | |
| 2021 | 909 | $31K | |
| 2022 | 1,068 | $37K | |
| 2023 | 1,191 | $41K | |
| 2024incomplete | 838 | $30K |
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 | 43% | 1,666 | 1,529 | $101K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 35% | 1,472 | 1,385 | $82K |
| 92015 | Determination of refractive state | 9.0% | 3,078 | 2,796 | $21K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.3% | 248 | 220 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 212 | 179 | $7K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 46 | 42 | $2K |
| 92002 | <1% | 14 | 13 | $620.04 | |
| V2020 | Frames, purchases | <1% | 77 | 65 | $290.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $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.