Ephraim Mcdowell Health Resource, INC.
Ephraim Mcdowell Health Resource, INC. was paid $324K by Medicaid between Aug 2019 and Nov 2024, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
DANVILLE, KY 40422
Next to other Optometrist providers in Kentucky
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 34 | $633.00 | |
| 2020 | 361 | $7K | |
| 2021 | 1,440 | $27K | |
| 2022 | 2,528 | $102K | |
| 2023 | 2,880 | $116K | |
| 2024incomplete | 1,569 | $72K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 1,319 | 1,115 | $89K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 1,632 | 1,462 | $88K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 1,165 | 1,144 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,409 | 1,774 | $43K |
| 92015 | Determination of refractive state | 3.3% | 1,150 | 929 | $11K |
| 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 | 3.1% | 487 | 315 | $10K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 215 | 150 | $8K |
| V2020 | Frames, purchases | <1% | 230 | 223 | $3K |
| 92341 | <1% | 39 | 39 | $2K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 61 | 52 | $1K |
| 92002 | <1% | 15 | 15 | $775.05 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 35 | 25 | $662.42 |
3 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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.