Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Julie Metzger Od PSC

Julie Metzger Od PSC was paid $229K by Medicaid between Jan 2018 and Mar 2022, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.

33Billing provider infoJULIE METZGER OD PSC
FLORENCE, KY 41042
33aNPI1548301492assigned 02/12/2007
33bProvider typeOptometrist
28Total paid$229K
24GClaims6,039
24DCodes billed9
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#241 of 683
Median peer was paid$123K
This provider vs. median1.9×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20181,344$55K
20193,468$134K
2020939$32K
2021148$3K
2022140$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 31% 825 805 $72K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 30% 1,080 1,052 $70K
92340 Fitting of spectacles, except for aphakia; monofocal 30% 1,011 992 $68K
92015 Determination of refractive state 7.0% 2,025 1,935 $16K
92370 <1% 59 59 $2K
92341 <1% 21 20 $1K
1036F 0% 755 725 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 34 33 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 229 226 $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.

From NPPES

Who's on the registration

Authorized officialMETZGER, JULIE (OPTOMETRIST)