Blandford, David

Blandford, David was paid $58K by Medicaid between Jan 2018 and Aug 2021, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 47% of everything it billed.

33Billing provider infoBLANDFORD, DAVID
LEXINGTON, KY 40517

33aNPI1558367805assigned 06/22/2005

33bProvider typeOphthalmology Physician

28Total paid$58K

24GClaims1,613

24DCodes billed5

24AFirst – last monthJan 2018 – Aug 2021

Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#32 of 110

Median peer was paid$15K

This provider vs. median3.8×

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	506	$19K
2019	584	$21K
2020	511	$18K
2021	12	$202.20

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	47%	351	337	$27K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	46%	502	457	$27K
92015	Determination of refractive state	5.2%	734	659	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	<1%	12	12	$366.36
76519		<1%	14	12	$332.96

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.