Hoelscher, Karlie
Hoelscher, Karlie was paid $99K by Medicaid between Dec 2022 and Sep 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoHOELSCHER, KARLIE
OWENSBORO, KY 42303
OWENSBORO, KY 42303
33aNPI1669103032assigned 06/17/2022
33bProvider typeOptometrist
28Total paid$99K
24GClaims3,701
24DCodes billed10
24AFirst – last monthDec 2022 – Sep 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#381 of 683
Median peer was paid$123K
This provider vs. median0.8×
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 | |
|---|---|---|---|
| 2022 | 60 | $2K | |
| 2023 | 2,055 | $52K | |
| 2024incomplete | 1,586 | $45K |
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 | 36% | 535 | 522 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 242 | 241 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 460 | 457 | $15K |
| V2020 | Frames, purchases | 14% | 613 | 527 | $14K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.7% | 400 | 345 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.6% | 616 | 521 | $4K |
| 92015 | Determination of refractive state | 2.2% | 635 | 633 | $2K |
| V2760 | Scratch resistant coating, per lens | <1% | 157 | 157 | $314.02 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 16 | 14 | $172.00 |
| S9999 | Sales tax | <1% | 27 | 27 | $41.91 |
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.