Durham, Terry
Durham, Terry was paid $82K by Medicaid between Feb 2018 and Nov 2024, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 72% of everything it billed.
33Billing provider infoDURHAM, TERRY
GLASGOW, KY 42141
GLASGOW, KY 42141
33aNPI1720151756assigned 11/16/2006
33bProvider typeOptometrist
28Total paid$82K
24GClaims1,415
24DCodes billed3
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#400 of 683
Median peer was paid$123K
This provider vs. median0.7×
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 | 107 | $7K | |
| 2019 | 176 | $10K | |
| 2020 | 166 | $9K | |
| 2021 | 292 | $15K | |
| 2022 | 225 | $14K | |
| 2023 | 230 | $13K | |
| 2024incomplete | 219 | $14K |
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 | 72% | 995 | 905 | $59K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 27% | 408 | 364 | $22K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 12 | 12 | $1K |
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.