Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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DR. Kress Eyecare Associates, PLLC

DR. Kress Eyecare Associates, PLLC was paid $343K by Medicaid between Jan 2018 and Aug 2019, across 25 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 15% of everything it billed.

33Billing provider infoDR. KRESS EYECARE ASSOCIATES, PLLC
BUCKHANNON, WV 26201
33aNPI1841343779assigned 01/22/2007
33bProvider typeOptometrist
28Total paid$343K
24GClaims7,930
24DCodes billed25
24AFirst – last monthJan 2018 – Aug 2019
Compared with peers

Next to other Optometrist providers in West Virginia

Rank by total paid#24 of 115
Median peer was paid$82K
This provider vs. median4.2×

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$20K$40K$60K2018201920202021202220232024
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
20187,435$321K
2019495$22K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15% 799 754 $53K
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 10% 989 913 $36K
92250 10% 625 591 $35K
92015 Determination of refractive state 7.2% 689 671 $25K
1036F 7.0% 717 666 $24K
92083 6.9% 438 406 $24K
V2020 Frames, purchases 6.4% 442 431 $22K
G9903 Patient screened for tobacco use and identified as a tobacco non-user 5.7% 591 548 $20K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.9% 446 365 $17K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 4.7% 385 381 $16K
92020 4.4% 297 290 $15K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 3.8% 193 186 $13K
13 more codes
99213 Doctor's office visit, returning patient (routine) 3.0% 300 $10K
G8783 Normal blood pressure reading documented, follow-up not required 2.1% 218 $7K
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1.9% 198 $7K
G9902 Patient screened for tobacco use and identified as a tobacco user 1.6% 146 $6K
G8428 Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given <1% 98 $3K
G8420 Bmi is documented within normal parameters and no follow-up plan is required <1% 93 $3K
G8732 No documentation of pain assessment, reason not given <1% 88 $3K
92133 <1% 77 $2K
G8754 Most recent diastolic blood pressure < 90 mmhg <1% 28 $1K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 31 $1K
4004F <1% 14 $443.40
99214 Doctor's office visit, returning patient (more involved) <1% 13 $440.17
G8785 Blood pressure reading not documented, reason not given <1% 15 $315.24

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 officialKRESS, THEODORE (OWNER)
Same official

Other billing entities under KRESS, THEODORE

Full network →
ProviderLocationPaid
DR. Kress Eyecare Associates, PLLCBridgeport, WV$93K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.