Kedzymac Enterprises, LLC
Kedzymac Enterprises, LLC was paid $145K by Medicaid between Aug 2022 and Nov 2024, across 10 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 40% of everything it billed.
33Billing provider infoKEDZYMAC ENTERPRISES, LLC
CLEVELAND, OK 74020
CLEVELAND, OK 74020
33aNPI1376272369assigned 06/06/2022
33bProvider typeOptometrist
28Total paid$145K
24GClaims3,389
24DCodes billed10
24AFirst – last monthAug 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in Oklahoma
Rank by total paid#152 of 336
Median peer was paid$113K
This provider vs. median1.3×
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
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 | |
|---|---|---|---|
| 2022 | 945 | $49K | |
| 2023 | 1,639 | $76K | |
| 2024incomplete | 805 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 434 | 433 | $58K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 203 | 203 | $26K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 639 | 637 | $19K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 568 | 563 | $16K |
| 92015 | Determination of refractive state | 8.0% | 659 | 656 | $12K |
| V2020 | Frames, purchases | 4.6% | 677 | 675 | $7K |
| 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 | 3.5% | 56 | 55 | $5K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 12 | 12 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 38 | 38 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 103 | 103 | $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 officialKEDZUF-MCGINNIS, LISA (OPTOMETRIST)