Knox Community Hospital

Knox Community Hospital was paid $113K by Medicaid between Oct 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.

33Billing provider infoKNOX COMMUNITY HOSPITAL
MOUNT VERNON, OH 43050

33aNPI1467601047assigned 09/18/2008

33bProvider typeClinic/Center

28Total paid$113K

24GClaims5,250

24DCodes billed14

24AFirst – last monthOct 2018 – Nov 2024

Compared with peers

Next to other Clinic/Center providers in Ohio

Rank by total paid#37 of 70

Median peer was paid$140K

This provider vs. median0.8×

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	142	$5K
2019	889	$19K
2020	951	$21K
2021	1,079	$23K
2022	929	$19K
2023	861	$16K
2024incomplete	399	$10K

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	25%	1,018	951	$28K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	22%	653	614	$24K
92015	Determination of refractive state	20%	2,168	2,037	$23K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	14%	642	584	$16K
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	9.1%	230	217	$10K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	4.6%	237	216	$5K
92340	Fitting of spectacles, except for aphakia; monofocal	2.3%	127	125	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.0%	15	15	$1K
92341		<1%	25	25	$631.97
V2020	Frames, purchases	<1%	18	18	$306.00
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	14	14	$280.00
92083		<1%	14	14	$271.66

2 more codes

92133		<1%	28	$258.36
92134		<1%	61	$197.12

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 officialO'BRIEN, DANIELLE (VP OF FINANCE)

Same official

Other billing entities under O'BRIEN, DANIELLE

Full network →

Provider	Location	Paid
Knox Community Hospital	Mount Vernon, OH	$29.19M
Knox Community Hospital	Mount Vernon, OH	$5.70M
Knox Community Hospital	Mount Vernon, OH	$31K
Knox Community Hospital	Mount Vernon, OH	$5K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.