Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hamilton, Kevin

Hamilton, Kevin was paid $27K by Medicaid between Nov 2020 and Jul 2021, across 6 billing codes. Its largest line is V2020, Frames, purchases — 59% of everything it billed.

33Billing provider infoHAMILTON, KEVIN
NORTH HUNTINGDON, PA 15642
33aNPI1558395137assigned 07/10/2006
33bProvider typeOptometrist
28Total paid$27K
24GClaims633
24DCodes billed6
24AFirst – last monthNov 2020 – Jul 2021
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#451 of 983
Median peer was paid$20K
This provider vs. median1.3×

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$2.0K$4.0K2018201920202021202220232024
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
2020148$6K
2021485$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 59% 245 239 $16K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 22% 181 175 $6K
S0621 Routine ophthalmological examination including refraction; established patient 14% 125 123 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.7% 14 14 $462.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 1.7% 12 12 $448.29
92015 Determination of refractive state 1.1% 56 56 $303.44

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.