Cain, Lloyd
Cain, Lloyd was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 35% of everything it billed.
33Billing provider infoCAIN, LLOYD
MIDDLESBORO, KY 40965
MIDDLESBORO, KY 40965
33aNPI1841376480assigned 10/27/2006
33bProvider typeOptometrist
28Total paid$1.05M
24GClaims23,395
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#24 of 683
Median peer was paid$123K
This provider vs. median8.5×
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 | 1,976 | $117K | |
| 2019 | 3,411 | $170K | |
| 2020 | 2,875 | $131K | |
| 2021 | 3,444 | $139K | |
| 2022 | 4,088 | $164K | |
| 2023 | 3,814 | $161K | |
| 2024incomplete | 3,787 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 35% | 6,039 | 5,836 | $365K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 33% | 4,055 | 3,884 | $341K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 4,718 | 4,540 | $303K |
| 92015 | Determination of refractive state | 2.1% | 6,836 | 6,492 | $22K |
| V2020 | Frames, purchases | <1% | 1,053 | 772 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 518 | 368 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 151 | 107 | $1K |
| 92341 | <1% | 12 | 12 | $674.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | 12 | $310.80 |
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.