Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kay, David

Kay, David was paid $61K by Medicaid between Jan 2018 and Oct 2021, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.

33Billing provider infoKAY, DAVID
GREAT BARRINGTON, MA 01230
33aNPI1407937832assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$61K
24GClaims2,404
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#191 of 629
Median peer was paid$15K
This provider vs. median4.1×

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

$0$2.0K$4.0K2018201920202021202220232024
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
YearClaimsPaid
20181,154$24K
2019836$23K
202099$4K
2021315$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 43% 402 397 $26K
92340 Fitting of spectacles, except for aphakia; monofocal 32% 696 609 $20K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 24% 300 299 $14K
92015 Determination of refractive state 1.5% 492 491 $891.31
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 95 94 $0.00
99199 Unlisted special service, procedure or report 0% 380 380 $0.00
1036F 0% 39 39 $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.