Helderman & Jacobs Vision Center, PLLC
Helderman & Jacobs Vision Center, PLLC was paid $968K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 40% of everything it billed.
33Billing provider infoHELDERMAN & JACOBS VISION CENTER, PLLC
MOUNT STERLING, KY 40353
MOUNT STERLING, KY 40353
33aNPI1699824912assigned 01/09/2007
33bProvider typeOptometrist
28Total paid$968K
24GClaims14,115
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#31 of 683
Median peer was paid$123K
This provider vs. median7.9×
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 | 2,849 | $186K | |
| 2019 | 2,985 | $200K | |
| 2020 | 2,130 | $143K | |
| 2021 | 1,845 | $134K | |
| 2022 | 2,074 | $150K | |
| 2023 | 1,785 | $124K | |
| 2024incomplete | 447 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 40% | 5,814 | 5,646 | $387K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 32% | 4,540 | 4,444 | $307K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 2,704 | 2,625 | $243K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 337 | 283 | $11K |
| 92370 | <1% | 282 | 275 | $8K | |
| 92250 | <1% | 217 | 202 | $7K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 159 | 138 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 13 | 12 | $784.40 |
| 92015 | Determination of refractive state | <1% | 49 | 38 | $506.48 |
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 officialHELDERMAN, WAYNE (PARTNER OWNER)