Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Ashland › NPI 1699086629
Supplier

Ky Doctors of Optometry, PLLC

Ky Doctors of Optometry, PLLC was paid $2.68M by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.

33Billing provider infoKY DOCTORS OF OPTOMETRY, PLLC
ASHLAND, KY 41101
33aNPI1699086629assigned 06/24/2010
33bProvider typeEyewear Supplier
28Total paid$2.68M
24GClaims88,934
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Eyewear Supplier providers in Kentucky

Rank by total paid#9 of 32
Median peer was paid$934K
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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official RUBESH, GRANT controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K2018201920202021202220232024
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
20185,171$119K
20197,568$160K
20206,603$141K
202111,204$290K
202225,333$1.16M
202317,355$444K
2024incomplete15,700$360K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 43% 20,051 19,267 $1.15M
V2020 Frames, purchases 17% 18,847 17,605 $466K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 13% 17,960 16,684 $361K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 9.5% 4,899 4,600 $254K
92340 Fitting of spectacles, except for aphakia; monofocal 7.3% 7,716 7,236 $196K
V2784 Lens, polycarbonate or equal, any index, per lens 3.0% 10,111 9,598 $81K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 1.5% 1,615 1,481 $41K
92250 <1% 994 836 $26K
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% 749 617 $22K
V2781 Progressive lens, per lens <1% 724 657 $16K
92341 <1% 636 598 $16K
V2750 Anti-reflective coating, per lens <1% 2,372 2,073 $13K
10 more codes
92353 <1% 503 $12K
92370 <1% 668 $10K
V2500 Contact lens, pmma, spherical, per lens <1% 64 $6K
92015 Determination of refractive state <1% 739 $5K
99214 Doctor's office visit, returning patient (more involved) <1% 48 $2K
V2520 Contact lens, hydrophilic, spherical, per lens <1% 26 $2K
92310 <1% 16 $354.00
S0500 Disposable contact lens, per lens 0% 85 $0.00
92342 0% 84 $0.00
S0621 Routine ophthalmological examination including refraction; established patient 0% 27 $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 officialRUBESH, GRANT (OWNER)
Same official

Other billing entities under RUBESH, GRANT

Full network →
ProviderLocationPaid
Tri-State Doctors ofBowling Green, KY$4.34M
Tri-State Doctors ofLouisville, KY$4.16M
Ky Doctors of Optometry, PLLCLouisville, KY$3.86M
Ky Doctors of Optometry, PLLCLouisville, KY$3.58M
Ky Doctors of Optometry, PLLCElizabethtown, KY$2.96M
Ky Doctors of Optometry, PLLCLexington, KY$2.80M
Ky Doctors of Optometry, PLLCPaducah, KY$2.09M
Ky Doctors of Optometry, PLLCLexington, KY$1.83M
Ky Doctors of Optometry, PLLCLouisville, KY$1.57M
Tri-State Doctors ofOwensboro, KY$1.30M
Ky Doctors of Optometry, PLLCRichmond, KY$1.18M
Ky Doctors of Optometry, PLLCSomerset, KY$1.01M
Ky Doctors of Optometry, PLLCGeorgetown, KY$934K
Ky Doctors of Optometry, PLLCLouisville, KY$793K
Ky Doctors of Optometry, PLLCHopkinsville, KY$790K
Ky Doctors of Optometry, PLLCFlorence, KY$742K
Tri-State Doctors ofLouisville, KY$620K
Ky Doctors of Optometry, PLLCFrankfort, KY$605K
Tri-State Doctors ofLouisville, KY$469K

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