Smith, Tony
Smith, Tony was paid $273K by Medicaid between Jan 2018 and Nov 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.
33Billing provider infoSMITH, TONY
MAYFIELD, KY 42066
MAYFIELD, KY 42066
33aNPI1487655437assigned 08/02/2005
33bProvider typeOptometrist
28Total paid$273K
24GClaims4,439
24DCodes billed5
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#205 of 683
Median peer was paid$123K
This provider vs. median2.2×
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 | 910 | $52K | |
| 2019 | 700 | $41K | |
| 2020 | 402 | $23K | |
| 2021 | 722 | $40K | |
| 2022 | 633 | $43K | |
| 2023 | 592 | $40K | |
| 2024incomplete | 480 | $33K |
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 | 67% | 2,935 | 2,881 | $183K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 1,442 | 1,414 | $90K |
| 92015 | Determination of refractive state | <1% | 26 | 26 | $520.00 |
| 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 | <1% | 17 | 12 | $128.87 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 19 | 13 | $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.