Ross & Birge INC
Ross & Birge INC was paid $354K by Medicaid between Oct 2019 and Dec 2024, across 4 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 59% of everything it billed.
33Billing provider infoROSS & BIRGE INC
TOMPKINSVILLE, KY 42167
TOMPKINSVILLE, KY 42167
33aNPI1386776169assigned 03/09/2007
33bProvider typeOptometrist
28Total paid$354K
24GClaims7,280
24DCodes billed4
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#155 of 683
Median peer was paid$123K
This provider vs. median2.9×
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 | |
|---|---|---|---|
| 2019 | 179 | $8K | |
| 2020 | 1,220 | $55K | |
| 2021 | 1,102 | $51K | |
| 2022 | 1,527 | $78K | |
| 2023 | 1,940 | $94K | |
| 2024incomplete | 1,312 | $69K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 59% | 5,002 | 4,884 | $210K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 40% | 2,115 | 2,072 | $143K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 51 | 38 | $697.29 |
| 3072F | 0% | 112 | 110 | $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 officialBIRGE, STEPHEN (VICE-PRESIDENT)