Downey Eye Clinic, PLLC

Downey Eye Clinic, PLLC was paid $174K by Medicaid between May 2019 and Nov 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.

33Billing provider infoDOWNEY EYE CLINIC, PLLC
COLUMBIA, KY 42728

33aNPI1841253424assigned 04/06/2006

33bProvider typeDurable Medical Equipment & Medical Supplies

28Total paid$174K

24GClaims7,768

24DCodes billed12

24AFirst – last monthMay 2019 – Nov 2024

Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Kentucky

Rank by total paid#105 of 362

Median peer was paid$5K

This provider vs. median35×

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
2019	198	$5K
2020	44	$542.89
2021	469	$6K
2022	5,197	$120K
2023	1,326	$27K
2024incomplete	534	$15K

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	28%	865	775	$48K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	17%	423	352	$30K
92015	Determination of refractive state	14%	2,328	2,065	$24K
V2020	Frames, purchases	13%	1,033	876	$23K
92340	Fitting of spectacles, except for aphakia; monofocal	8.4%	747	642	$15K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	6.7%	561	403	$12K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	4.5%	436	381	$8K
V2784	Lens, polycarbonate or equal, any index, per lens	3.5%	550	453	$6K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2.0%	203	160	$4K
92250		1.3%	112	97	$2K
V2760	Scratch resistant coating, per lens	1.1%	495	403	$2K
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%	15	14	$738.10

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.

From NPPES

Who's on the registration

Authorized officialBURTON, JACOB (OWNER)