Higdon, Amanda
Higdon, Amanda was paid $470K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 29% of everything it billed.
33Billing provider infoHIGDON, AMANDA
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
33aNPI1659571529assigned 07/19/2007
33bProvider typeOptometrist
28Total paid$470K
24GClaims15,050
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#111 of 683
Median peer was paid$123K
This provider vs. median3.8×
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 | 1,594 | $69K | |
| 2019 | 2,169 | $69K | |
| 2020 | 1,685 | $61K | |
| 2021 | 1,360 | $61K | |
| 2022 | 1,176 | $34K | |
| 2023 | 3,094 | $78K | |
| 2024incomplete | 3,972 | $98K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 29% | 2,786 | 2,612 | $138K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 973 | 958 | $89K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16% | 1,735 | 1,644 | $77K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 794 | 781 | $53K |
| V2020 | Frames, purchases | 7.8% | 2,112 | 1,640 | $37K |
| 92002 | 7.6% | 723 | 683 | $36K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.4% | 1,083 | 940 | $21K |
| 92015 | Determination of refractive state | 1.5% | 3,034 | 2,916 | $7K |
| V2755 | U-v lens, per lens | 1.3% | 439 | 412 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 761 | 547 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 59 | 54 | $1K |
| V2760 | Scratch resistant coating, per lens | <1% | 331 | 306 | $610.00 |
6 more codes
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 15 | $471.56 |
| S0516 | Safety eyeglass frames | <1% | 29 | $463.42 |
| 92370 | <1% | 12 | $348.00 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 48 | $268.00 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 29 | $263.96 |
| S9999 | Sales tax | <1% | 87 | $178.41 |
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.