Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Robert J. Knox MD, INC

Robert J. Knox MD, INC was paid $69K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 63% of everything it billed.

33Billing provider infoROBERT J. KNOX MD, INC
PORTSMOUTH, OH 45662
33aNPI1669492195assigned 07/20/2006
28Total paid$69K
24GClaims2,924
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Ophthalmologic Surgery Clinic/Center providers in Ohio

Rank by total paid#4 of 5
Median peer was paid$153K
This provider vs. median0.4×

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$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,432$33K
2019786$14K
2020363$6K
2021157$6K
202259$1K
2023111$7K
2024incomplete16$302.24
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 63% 212 127 $43K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 17% 519 462 $12K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 7.5% 134 123 $5K
92136 7.4% 454 365 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2.8% 206 191 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.7% 46 41 $1K
92134 <1% 45 42 $191.06
1036F 0% 816 737 $0.00
5010F 0% 128 123 $0.00
2022F 0% 139 133 $0.00
2027F 0% 41 41 $0.00
4004F 0% 107 100 $0.00
1 more codes
99072 0% 77 $0.00

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 officialKNOX, ROBERT (PRESIDENT)
Same official

Other billing entities under KNOX, ROBERT

Full network →
ProviderLocationPaid
Eye Group, LLCFort Smith, AR$675K
Strictly Pediatrics Surgery Center of Central Texas, LLCAustin, TX$474K
Knox Chiropractic Center, LLCSalem, KY$712.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.