The Ophthalmology Group, LLC
The Ophthalmology Group, LLC was paid $143K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 45% of everything it billed.
PADUCAH, KY 42001
Next to other Optometrist providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,080 | $25K | |
| 2019 | 959 | $22K | |
| 2020 | 642 | $16K | |
| 2021 | 543 | $13K | |
| 2022 | 747 | $24K | |
| 2023 | 814 | $32K | |
| 2024incomplete | 399 | $11K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 45% | 1,369 | 1,287 | $64K |
| 92134 | 22% | 2,338 | 2,181 | $31K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,041 | 928 | $29K |
| J0178 | Injection, aflibercept, 1 mg | 4.4% | 20 | 12 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.4% | 85 | 77 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 53 | 49 | $4K |
| J3590 | Unclassified biologics | <1% | 103 | 80 | $1K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 128 | 121 | $935.36 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 19 | 15 | $686.65 |
| 92133 | <1% | 15 | 12 | $252.71 | |
| 92136 | <1% | 13 | 12 | $142.46 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Nationwide Vision Center, LLC | Mesa, AZ | $42.44M |
| Retina and Vitreous Associates of Kentucky PLLC | Lexington, KY | $13.25M |
| Blue Sky Vision Eye Care, P.C | Grand Rapids, MI | $9.34M |
| Virginia Eye Consultants INC | Norfolk, VA | $8.26M |
| Eye Centers of Louisville,psc | Louisville, KY | $7.49M |
| Grene Vision Group LLC | Wichita, KS | $6.29M |
| Shoreline Ophthalmology, PLLC | Muskegon, MI | $3.10M |
| Mcpeak Vision Partners PLLC | Glasgow, KY | $2.58M |
| Steven A. Kuhl Od, LLC | Wichita, KS | $2.36M |
| Virginia Surgery Center, LLC | Norfolk, VA | $1.22M |
| John Kenyon American Eye Institute LLC | New Albany, IN | $904K |
| John Kenyon American Eye Institute LLC | Elizabethtown, KY | $866K |
| Tuscaloosa Ophthalmology, INC. | Tuscaloosa, AL | $690K |
| Monmouth Retina Consultants, P.A. | Little Silver, NJ | $476K |
| Eye Associates of Oklahoma PLLC | Oklahoma City, OK | $197K |
| Emilio Martin Justo MD PC | Sun City, AZ | $131K |
| Reynolds & Anliker Eye Physicians & Surgeons LLC | Emporia, KS | $92K |
| Shoreline Ophthalmology, PLLC | Muskegon, MI | $73K |
| Florence Ophthalmology LLC | Florence, AL | $42K |
| Frisco Eye Associates | Frisco, TX | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.