Ison, Thomas

Ison, Thomas was paid $3K by Medicaid between Jan 2018 and Mar 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 65% of everything it billed.

33Billing provider infoISON, THOMAS
PIKEVILLE, KY 41501

33aNPI1548290042assigned 07/03/2006

33bProvider typeOphthalmology Physician

28Total paid$3K

24GClaims88

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2021

Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#87 of 110

Median peer was paid$15K

This provider vs. median0.2×

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	49	$1K
2021	39	$2K

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	65%	36	25	$2K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	21%	20	12	$580.79
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	7.4%	19	12	$208.64
76519		7.2%	13	12	$202.34

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.