Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Professional Eyecare, P.S.C.

Professional Eyecare, P.S.C. was paid $72K by Medicaid between Apr 2018 and Mar 2021, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.

33Billing provider infoPROFESSIONAL EYECARE, P.S.C.
PAINTSVILLE, KY 41240
33aNPI1639203474assigned 03/15/2007
33bProvider typeOptometrist
28Total paid$72K
24GClaims1,170
24DCodes billed5
24AFirst – last monthApr 2018 – Mar 2021
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#417 of 683
Median peer was paid$123K
This provider vs. median0.6×

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$5.0K$10K$15K2018201920202021202220232024
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
201814$674.76
201973$3K
2020727$45K
2021356$23K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 40% 485 465 $29K
92340 Fitting of spectacles, except for aphakia; monofocal 32% 364 335 $23K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 202 196 $17K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.1% 106 98 $3K
92015 Determination of refractive state <1% 13 12 $100.00

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.

From NPPES

Who's on the registration

Authorized officialMANN, RANDALL (OWNER)