Karl Mcclanahan, PSC
Karl Mcclanahan, PSC was paid $452K by Medicaid between Apr 2018 and Dec 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoKARL MCCLANAHAN, PSC
WINCHESTER, KY 40391
WINCHESTER, KY 40391
33aNPI1811153877assigned 07/30/2008
33bProvider typeOptometrist
28Total paid$452K
24GClaims15,579
24DCodes billed14
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#115 of 683
Median peer was paid$123K
This provider vs. median3.7×
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 | 68 | $3K | |
| 2019 | 40 | $2K | |
| 2021 | 731 | $22K | |
| 2022 | 2,991 | $91K | |
| 2023 | 5,970 | $168K | |
| 2024incomplete | 5,779 | $166K |
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 | 38% | 2,562 | 2,529 | $171K |
| V2020 | Frames, purchases | 19% | 2,743 | 2,727 | $87K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 881 | 861 | $78K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 1,985 | 1,968 | $58K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.2% | 1,562 | 1,549 | $28K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.0% | 1,671 | 1,657 | $13K |
| 92341 | 1.5% | 209 | 209 | $7K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 258 | 258 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 108 | 107 | $2K |
| 92015 | Determination of refractive state | <1% | 3,488 | 3,442 | $1K |
| 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% | 32 | 32 | $1K |
| 92370 | <1% | 42 | 42 | $1K |
2 more codes
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 officialMCCLANAHAN, KARL (PRESIDENT/OWNER)