Roberts, Mallory
Roberts, Mallory was paid $437K by Medicaid between Jan 2018 and Sep 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 44% of everything it billed.
33Billing provider infoROBERTS, MALLORY
CALHOUN, KY 42327
CALHOUN, KY 42327
33aNPI1679668198assigned 10/03/2006
33bProvider typeOptometrist
28Total paid$437K
24GClaims7,883
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#118 of 683
Median peer was paid$123K
This provider vs. median3.6×
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 | 1,304 | $78K | |
| 2019 | 1,464 | $76K | |
| 2020 | 1,375 | $70K | |
| 2021 | 1,637 | $80K | |
| 2022 | 873 | $53K | |
| 2023 | 680 | $44K | |
| 2024incomplete | 550 | $36K |
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 | 44% | 2,995 | 2,865 | $193K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 36% | 2,491 | 2,381 | $158K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 965 | 939 | $83K |
| 92015 | Determination of refractive state | <1% | 1,420 | 1,343 | $4K |
| 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% | 12 | 12 | $511.56 |
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.