Ernst, James
Ernst, James was paid $350K by Medicaid between Jan 2018 and Jun 2022, across 7 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 37% of everything it billed.
33Billing provider infoERNST, JAMES
ALEXANDRIA, KY 41001
ALEXANDRIA, KY 41001
33aNPI1689736506assigned 12/15/2006
33bProvider typeOptometrist
28Total paid$350K
24GClaims7,547
24DCodes billed7
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#158 of 683
Median peer was paid$123K
This provider vs. median2.9×
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 | 1,489 | $81K | |
| 2019 | 2,097 | $93K | |
| 2020 | 2,130 | $93K | |
| 2021 | 1,360 | $62K | |
| 2022 | 471 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 37% | 2,093 | 2,034 | $131K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 1,715 | 1,653 | $113K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 1,100 | 1,054 | $99K |
| 92015 | Determination of refractive state | 1.6% | 2,487 | 2,385 | $6K |
| 92341 | <1% | 27 | 25 | $2K | |
| V2020 | Frames, purchases | <1% | 54 | 54 | $183.75 |
| 888888 | 0% | 71 | 70 | $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.