Physician
Calvert, Harold
Calvert, Harold was paid $34K by Medicaid between Mar 2018 and May 2023, across 3 billing codes. Its largest line is 92250, — 45% of everything it billed.
33Billing provider infoCALVERT, HAROLD
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1396737219assigned 08/17/2005
33bProvider typeOphthalmology Physician
28Total paid$34K
24GClaims884
24DCodes billed3
24AFirst – last monthMar 2018 – May 2023
Compared with peers
Next to other Ophthalmology Physician providers in Kentucky
Rank by total paid#46 of 110
Median peer was paid$15K
This provider vs. median2.2×
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 | 255 | $11K | |
| 2019 | 314 | $12K | |
| 2020 | 251 | $9K | |
| 2021 | 12 | $455.69 | |
| 2022 | 27 | $961.03 | |
| 2023 | 25 | $840.65 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 45% | 500 | 438 | $15K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 39% | 188 | 171 | $13K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 196 | 170 | $6K |
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.