Divine, Kylie
Divine, Kylie was paid $19K by Medicaid between Feb 2018 and Mar 2020, across 6 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 29% of everything it billed.
33Billing provider infoDIVINE, KYLIE
POPLAR BLUFF, MO 63901
POPLAR BLUFF, MO 63901
33aNPI1558672162assigned 06/29/2010
33bProvider typeOptometrist
28Total paid$19K
24GClaims1,442
24DCodes billed6
24AFirst – last monthFeb 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#276 of 547
Median peer was paid$19K
This provider vs. median1.0×
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 | 557 | $5K | |
| 2019 | 614 | $9K | |
| 2020 | 271 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 29% | 458 | 206 | $5K |
| V2020 | Frames, purchases | 20% | 229 | 202 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 83 | 76 | $3K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 78 | 61 | $3K |
| 92015 | Determination of refractive state | 9.6% | 429 | 373 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.2% | 165 | 84 | $1K |
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.