Ellsworth, Kevin
Ellsworth, Kevin was paid $2K by Medicaid between Mar 2018 and Apr 2018, across 2 billing codes. Its largest line is 92015, Determination of refractive state — 78% of everything it billed.
33Billing provider infoELLSWORTH, KEVIN
LOGAN, UT 84341
LOGAN, UT 84341
33aNPI1669457024assigned 12/08/2005
33bProvider typeOptometrist
28Total paid$2K
24GClaims63
24DCodes billed2
24AFirst – last monthMar 2018 – Apr 2018
Compared with peers
Next to other Optometrist providers in Utah
Rank by total paid#87 of 130
Median peer was paid$6K
This provider vs. median0.3×
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 | 63 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 78% | 43 | 25 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 20 | 12 | $434.80 |
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.