Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Puckett, Randall

Puckett, Randall was paid $1.14M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.

33Billing provider infoPUCKETT, RANDALL
WINCHESTER, KY 40391
33aNPI1326031527assigned 08/24/2005
33bProvider typeOptometrist
28Total paid$1.14M
24GClaims40,779
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#17 of 683
Median peer was paid$123K
This provider vs. median9.3×

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$20K$40K2018201920202021202220232024
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
20184,392$163K
20196,282$193K
20207,320$227K
202110,690$338K
20223,843$88K
20233,214$58K
2024incomplete5,038$73K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 31% 4,059 3,904 $354K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 4,482 4,326 $287K
92340 Fitting of spectacles, except for aphakia; monofocal 16% 6,276 5,987 $180K
V2020 Frames, purchases 14% 9,069 6,932 $160K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 5.9% 4,207 3,688 $67K
V2784 Lens, polycarbonate or equal, any index, per lens 1.8% 4,963 3,652 $21K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1.5% 971 903 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.1% 326 278 $12K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 2,152 1,231 $10K
92341 <1% 217 211 $8K
92015 Determination of refractive state <1% 321 314 $6K
92370 <1% 164 162 $4K
7 more codes
S0516 Safety eyeglass frames <1% 264 $4K
V2760 Scratch resistant coating, per lens <1% 2,297 $4K
S0504 Single vision prescription lens (safety, athletic, or sunglass), per lens <1% 259 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 178 $1K
S9999 Sales tax <1% 534 $733.23
92250 <1% 25 $656.14
92083 <1% 15 $515.09

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.