Mcclanahan, Karl
Mcclanahan, Karl was paid $676K by Medicaid between Jan 2018 and Feb 2023, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoMCCLANAHAN, KARL
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1598759250assigned 09/08/2005
33bProvider typeOptometrist
28Total paid$676K
24GClaims19,984
24DCodes billed13
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#55 of 683
Median peer was paid$123K
This provider vs. median5.5×
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 | 4,177 | $153K | |
| 2019 | 4,780 | $170K | |
| 2020 | 4,163 | $149K | |
| 2021 | 5,418 | $167K | |
| 2022 | 1,338 | $34K | |
| 2023 | 108 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 2,991 | 2,900 | $200K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 1,700 | 1,656 | $153K |
| V2020 | Frames, purchases | 19% | 4,027 | 3,906 | $127K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 3,629 | 3,529 | $101K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.7% | 2,675 | 2,601 | $52K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.1% | 2,718 | 2,633 | $21K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 622 | 603 | $12K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 82 | 82 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 157 | 152 | $4K |
| 92370 | <1% | 62 | 62 | $2K | |
| 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% | 14 | 12 | $468.93 |
| 92341 | <1% | 12 | 12 | $132.00 |
1 more codes
| 92015 | Determination of refractive state | <1% | 1,295 | $101.10 |
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.