Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Smith, Gary

Smith, Gary was paid $338K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 36% of everything it billed.

33Billing provider infoSMITH, GARY
SOUTH WILLIAMSON, KY 41503
33aNPI1689756199assigned 10/20/2006
33bProvider typeOptometrist
28Total paid$338K
24GClaims15,498
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#166 of 683
Median peer was paid$123K
This provider vs. median2.8×

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$5.0K$10K2018201920202021202220232024
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
20182,031$54K
20192,202$54K
20201,484$36K
20213,023$53K
20222,544$54K
20232,195$47K
2024incomplete2,019$41K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 36% 3,133 2,734 $123K
92340 Fitting of spectacles, except for aphakia; monofocal 19% 2,582 2,220 $65K
V2020 Frames, purchases 19% 3,003 2,480 $63K
92002 11% 888 769 $37K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 5.9% 1,359 1,109 $20K
V2784 Lens, polycarbonate or equal, any index, per lens 3.5% 1,854 1,538 $12K
92015 Determination of refractive state 2.3% 701 566 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.0% 634 483 $7K
V2760 Scratch resistant coating, per lens <1% 1,344 1,191 $3K

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.