Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hunsaker, James

Hunsaker, James was paid $316K by Medicaid between Jan 2018 and Nov 2021, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.

33Billing provider infoHUNSAKER, JAMES
MANCHESTER, KY 40962
33aNPI1629223797assigned 11/17/2008
33bProvider typeOptometrist
28Total paid$316K
24GClaims7,896
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#177 of 683
Median peer was paid$123K
This provider vs. median2.6×

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$10K$20K2018201920202021202220232024
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
2018922$63K
20191,087$62K
20202,407$86K
20213,480$105K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37% 1,462 1,335 $117K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 29% 1,539 1,418 $91K
V2020 Frames, purchases 10% 1,172 1,130 $33K
92340 Fitting of spectacles, except for aphakia; monofocal 8.9% 1,193 1,152 $28K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.1% 596 572 $13K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.5% 451 433 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.1% 401 368 $7K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.0% 120 115 $6K
92002 1.7% 110 106 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 1.5% 601 580 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 159 148 $3K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 13 12 $563.04
3 more codes
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 15 $366.21
92015 Determination of refractive state 0% 46 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 0% 18 $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.