Lane, Ashley
Lane, Ashley was paid $355K by Medicaid between Feb 2018 and Aug 2024, across 18 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoLANE, ASHLEY
LEXINGTON, KY 40513
LEXINGTON, KY 40513
33aNPI1760612527assigned 07/15/2009
33bProvider typeOptometrist
28Total paid$355K
24GClaims13,383
24DCodes billed18
24AFirst – last monthFeb 2018 – Aug 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#153 of 683
Median peer was paid$123K
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.
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 | 28 | $3K | |
| 2019 | 13 | $181.98 | |
| 2020 | 2,072 | $38K | |
| 2021 | 4,669 | $135K | |
| 2022 | 5,247 | $146K | |
| 2023 | 1,105 | $29K | |
| 2024incomplete | 249 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 1,314 | 1,166 | $108K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 1,422 | 1,267 | $87K |
| V2020 | Frames, purchases | 18% | 2,229 | 1,815 | $64K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 1,634 | 1,466 | $38K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.5% | 1,214 | 1,039 | $20K |
| 92015 | Determination of refractive state | 3.0% | 2,602 | 2,376 | $11K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 1,129 | 954 | $7K |
| 92250 | 1.6% | 147 | 129 | $6K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 130 | 112 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 273 | 241 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 80 | 71 | $2K |
| V2760 | Scratch resistant coating, per lens | <1% | 985 | 859 | $2K |
6 more codes
| 92341 | <1% | 118 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $341.88 |
| 92310 | <1% | 12 | $220.00 | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 14 | $186.75 |
| S9999 | Sales tax | <1% | 54 | $125.13 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 12 | $110.10 |
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.