Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Smith, Kenneth

Smith, Kenneth was paid $123K by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.

33Billing provider infoSMITH, KENNETH
NEW YORK, NY 10016
33aNPI1568436095assigned 02/13/2006
33bProvider typeOptometrist
28Total paid$123K
24GClaims5,372
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in New York

Rank by total paid#501 of 1,605
Median peer was paid$29K
This provider vs. median4.2×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20182,056$36K
20191,454$22K
2020267$4K
2021174$6K
2022518$20K
2023708$28K
2024incomplete195$7K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 39% 1,287 1,275 $48K
V2020 Frames, purchases 18% 1,714 1,696 $22K
92250 13% 358 356 $16K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 10% 774 633 $13K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 4.1% 105 104 $5K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.6% 176 148 $4K
92286 3.3% 68 68 $4K
92285 3.3% 89 86 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.7% 192 131 $2K
68801 1.0% 15 15 $1K
92015 Determination of refractive state <1% 197 197 $1K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 172 132 $969.00
7 more codes
76512 <1% 14 $619.00
S0620 Routine ophthalmological examination including refraction; new patient <1% 15 $400.00
92341 <1% 13 $260.00
92340 Fitting of spectacles, except for aphakia; monofocal <1% 14 $90.00
68040 0% 55 $0.00
92025 0% 43 $0.00
V2756 Eye glass case 0% 71 $0.00

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.