Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Corbin › NPI 1730181967
Physician

Mackey, Benjamin

Mackey, Benjamin was paid $514K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 46% of everything it billed.

33Billing provider infoMACKEY, BENJAMIN
CORBIN, KY 40701
33aNPI1730181967assigned 06/01/2005
33bProvider typeOphthalmology Physician
28Total paid$514K
24GClaims10,628
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Ophthalmology Physician providers in Kentucky

Rank by total paid#9 of 110
Median peer was paid$15K
This provider vs. median33×

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$10K$20K$30K2018201920202021202220232024
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
20183,918$188K
20192,728$94K
2020538$28K
2021612$39K
20221,028$55K
20231,155$73K
2024incomplete649$39K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 46% 3,886 3,789 $235K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 738 719 $60K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 11% 153 141 $55K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8.6% 1,023 966 $44K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.2% 880 821 $32K
92341 5.2% 433 421 $27K
V2020 Frames, purchases 2.2% 508 459 $11K
92015 Determination of refractive state 1.8% 931 903 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.6% 362 298 $8K
92136 1.4% 303 290 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.0% 78 76 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 201 178 $5K
10 more codes
92083 <1% 118 $4K
92250 <1% 103 $3K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 395 $3K
92370 <1% 90 $2K
92133 <1% 56 $2K
92002 <1% 31 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 19 $332.00
99024 0% 220 $0.00
G8397 Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy 0% 73 $0.00
2023F 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.