Breeding, Robert
Breeding, Robert was paid $230K by Medicaid between Jul 2018 and Nov 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 68% of everything it billed.
33Billing provider infoBREEDING, ROBERT
MONTICELLO, KY 42633
MONTICELLO, KY 42633
33aNPI1548346596assigned 10/31/2006
33bProvider typeOptometrist
28Total paid$230K
24GClaims4,004
24DCodes billed11
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#239 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
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 | 24 | $2K | |
| 2019 | 420 | $15K | |
| 2020 | 808 | $23K | |
| 2021 | 867 | $49K | |
| 2022 | 703 | $51K | |
| 2023 | 673 | $48K | |
| 2024incomplete | 509 | $41K |
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 | 68% | 1,883 | 1,734 | $156K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 720 | 680 | $45K |
| V2020 | Frames, purchases | 4.7% | 457 | 401 | $11K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.8% | 250 | 219 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.1% | 302 | 258 | $5K |
| 92082 | <1% | 104 | 77 | $2K | |
| 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 | <1% | 57 | 41 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 163 | 136 | $978.75 |
| 92310 | <1% | 13 | 13 | $384.74 | |
| 92015 | Determination of refractive state | <1% | 43 | 39 | $377.22 |
| V2760 | Scratch resistant coating, per lens | <1% | 12 | 12 | $24.00 |
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.