Physician
Calvert Opthalmology PSC
Calvert Opthalmology PSC was paid $165K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92250, — 28% of everything it billed.
33Billing provider infoCALVERT OPTHALMOLOGY PSC
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1508036831assigned 03/03/2008
33bProvider typeOphthalmology Physician
28Total paid$165K
24GClaims5,614
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Kentucky
Rank by total paid#17 of 110
Median peer was paid$15K
This provider vs. median11×
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 | 618 | $20K | |
| 2019 | 452 | $9K | |
| 2020 | 587 | $9K | |
| 2021 | 963 | $19K | |
| 2022 | 1,036 | $37K | |
| 2023 | 1,009 | $34K | |
| 2024incomplete | 949 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 28% | 2,365 | 1,925 | $46K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 20% | 230 | 125 | $33K |
| 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 | 19% | 686 | 563 | $32K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 1,313 | 1,113 | $28K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.7% | 204 | 185 | $13K |
| 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 | 5.2% | 351 | 293 | $9K |
| 76519 | 3.4% | 449 | 151 | $6K | |
| 92134 | <1% | 16 | 12 | $201.46 |
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 officialCALVERT, HAROLD (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Calvert Opthalmology PSC | Clarksville, TN | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.