Cox, Kennon
Cox, Kennon was paid $58K by Medicaid between Jan 2020 and Oct 2023, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoCOX, KENNON
CARBONDALE, IL 62901
CARBONDALE, IL 62901
33aNPI1558914150assigned 07/23/2019
33bProvider typeOptometrist
28Total paid$58K
24GClaims2,008
24DCodes billed7
24AFirst – last monthJan 2020 – Oct 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#527 of 1,069
Median peer was paid$56K
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 | |
|---|---|---|---|
| 2020 | 677 | $19K | |
| 2021 | 1,211 | $37K | |
| 2022 | 63 | $2K | |
| 2023 | 57 | $1K |
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 | 40% | 540 | 469 | $23K |
| 92015 | Determination of refractive state | 27% | 900 | 826 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 248 | 218 | $10K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 255 | 249 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 17 | 15 | $1K |
| V2020 | Frames, purchases | 1.4% | 32 | 24 | $825.12 |
| 92250 | <1% | 16 | 12 | $328.16 |
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.