Hines, Brett
Hines, Brett was paid $69K by Medicaid between Jan 2018 and Oct 2021, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.
33Billing provider infoHINES, BRETT
CYNTHIANA, KY 41031
CYNTHIANA, KY 41031
33aNPI1386859015assigned 05/14/2007
33bProvider typeOptometrist
28Total paid$69K
24GClaims1,248
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#421 of 683
Median peer was paid$123K
This provider vs. median0.6×
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.
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 | 892 | $52K | |
| 2019 | 258 | $12K | |
| 2021 | 98 | $6K |
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 | 45% | 464 | 461 | $31K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 24% | 299 | 292 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 172 | 169 | $16K |
| V2020 | Frames, purchases | 4.0% | 119 | 110 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 50 | 48 | $890.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.0% | 119 | 116 | $722.50 |
| 92370 | <1% | 13 | 12 | $363.95 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | 12 | $349.63 |
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.