Gay, Heather
Gay, Heather was paid $357K by Medicaid between Jul 2022 and Dec 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 26% of everything it billed.
33Billing provider infoGAY, HEATHER
MANCHESTER, KY 40962
MANCHESTER, KY 40962
33aNPI1447992615assigned 04/08/2022
33bProvider typeOptometrist
28Total paid$357K
24GClaims12,467
24DCodes billed14
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#151 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 | |
|---|---|---|---|
| 2022 | 1,935 | $56K | |
| 2023 | 6,427 | $186K | |
| 2024incomplete | 4,105 | $114K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 26% | 1,045 | 1,010 | $94K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 1,172 | 1,140 | $79K |
| V2020 | Frames, purchases | 18% | 2,290 | 2,147 | $64K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 2,035 | 1,955 | $61K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.8% | 1,215 | 1,144 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 314 | 272 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.5% | 1,193 | 1,128 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.4% | 375 | 352 | $5K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.4% | 173 | 151 | $5K |
| V2781 | Progressive lens, per lens | 1.2% | 122 | 122 | $4K |
| 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% | 28 | 28 | $2K |
| 92015 | Determination of refractive state | <1% | 2,458 | 2,386 | $2K |
2 more codes
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.