Downey, Max
Downey, Max was paid $122K by Medicaid between Jan 2018 and Apr 2021, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoDOWNEY, MAX
COLUMBIA, KY 42728
COLUMBIA, KY 42728
33aNPI1689675159assigned 08/09/2005
33bProvider typeOptometrist
28Total paid$122K
24GClaims4,084
24DCodes billed11
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#345 of 683
Median peer was paid$123K
This provider vs. median1.0×
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 | 1,998 | $54K | |
| 2019 | 1,668 | $39K | |
| 2020 | 131 | $10K | |
| 2021 | 287 | $19K |
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 | 29% | 550 | 521 | $35K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 736 | 699 | $29K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 265 | 247 | $22K |
| V2020 | Frames, purchases | 15% | 673 | 648 | $19K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.2% | 351 | 339 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.5% | 465 | 452 | $4K |
| 92015 | Determination of refractive state | 2.1% | 452 | 422 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.4% | 89 | 85 | $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% | 32 | 28 | $1K |
| V2760 | Scratch resistant coating, per lens | <1% | 455 | 442 | $1K |
| 92341 | <1% | 16 | 14 | $488.21 |
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.