Heltsley, John
Heltsley, John was paid $22K by Medicaid between Feb 2018 and Oct 2018, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.
33Billing provider infoHELTSLEY, JOHN
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1649378613assigned 09/21/2006
33bProvider typeOptometrist
28Total paid$22K
24GClaims314
24DCodes billed3
24AFirst – last monthFeb 2018 – Oct 2018
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#534 of 683
Median peer was paid$123K
This provider vs. median0.2×
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
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 | 314 | $22K |
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 | 50% | 169 | 163 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 68 | 65 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 77 | 74 | $5K |
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.