Supplier
Ky Doctors of Optometry, PLLC
Ky Doctors of Optometry, PLLC was paid $2.80M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoKY DOCTORS OF OPTOMETRY, PLLC
LEXINGTON, KY 40503
LEXINGTON, KY 40503
33aNPI1407930712assigned 10/24/2006
33bProvider typeEyewear Supplier
28Total paid$2.80M
24GClaims117,802
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Eyewear Supplier providers in Kentucky
Rank by total paid#8 of 32
Median peer was paid$934K
This provider vs. median3.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official RUBESH, GRANT controls 19+ related entities in our dataset. Read more
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 | 6,110 | $146K | |
| 2019 | 9,868 | $205K | |
| 2020 | 11,135 | $277K | |
| 2021 | 20,247 | $484K | |
| 2022 | 17,552 | $458K | |
| 2023 | 28,188 | $677K | |
| 2024incomplete | 24,702 | $553K |
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 | 27% | 13,696 | 12,890 | $769K |
| V2020 | Frames, purchases | 22% | 27,529 | 25,176 | $622K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 18% | 26,960 | 24,529 | $491K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 14,700 | 13,324 | $334K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.9% | 4,603 | 4,145 | $222K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.5% | 15,138 | 14,065 | $125K |
| 92250 | 1.5% | 2,329 | 1,853 | $41K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.4% | 1,644 | 1,477 | $39K |
| V2750 | Anti-reflective coating, per lens | <1% | 4,881 | 4,395 | $27K |
| 92370 | <1% | 1,300 | 1,222 | $21K | |
| V2781 | Progressive lens, per lens | <1% | 653 | 616 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 491 | 404 | $18K |
16 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 435 | $12K |
| 92341 | <1% | 516 | $11K | |
| 92015 | Determination of refractive state | <1% | 1,537 | $11K |
| V2599 | Contact lens, other type | <1% | 159 | $10K |
| 92353 | <1% | 502 | $8K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 130 | $7K |
| 92310 | <1% | 231 | $5K | |
| V2500 | Contact lens, pmma, spherical, per lens | <1% | 33 | $3K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | <1% | 28 | $2K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 29 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 42 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 15 | $703.80 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 44 | $0.00 |
| S0500 | Disposable contact lens, per lens | 0% | 44 | $0.00 |
| 92342 | 0% | 99 | $0.00 | |
| S0592 | Comprehensive contact lens evaluation | 0% | 34 | $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 officialRUBESH, GRANT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Tri-State Doctors of | Bowling Green, KY | $4.34M |
| Tri-State Doctors of | Louisville, KY | $4.16M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $3.86M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $3.58M |
| Ky Doctors of Optometry, PLLC | Elizabethtown, KY | $2.96M |
| Ky Doctors of Optometry, PLLC | Ashland, KY | $2.68M |
| Ky Doctors of Optometry, PLLC | Paducah, KY | $2.09M |
| Ky Doctors of Optometry, PLLC | Lexington, KY | $1.83M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $1.57M |
| Tri-State Doctors of | Owensboro, KY | $1.30M |
| Ky Doctors of Optometry, PLLC | Richmond, KY | $1.18M |
| Ky Doctors of Optometry, PLLC | Somerset, KY | $1.01M |
| Ky Doctors of Optometry, PLLC | Georgetown, KY | $934K |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $793K |
| Ky Doctors of Optometry, PLLC | Hopkinsville, KY | $790K |
| Ky Doctors of Optometry, PLLC | Florence, KY | $742K |
| Tri-State Doctors of | Louisville, KY | $620K |
| Ky Doctors of Optometry, PLLC | Frankfort, KY | $605K |
| Tri-State Doctors of | Louisville, KY | $469K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.