Physician
Gainer, Kenneth
Gainer, Kenneth was paid $1.30M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 34% of everything it billed.
33Billing provider infoGAINER, KENNETH
MARTINS FERRY, OH 43935
MARTINS FERRY, OH 43935
33aNPI1851445985assigned 01/23/2007
33bProvider typeOphthalmology Physician
28Total paid$1.30M
24GClaims34,757
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Ohio
Rank by total paid#10 of 155
Median peer was paid$10K
This provider vs. median125×
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 | 3,923 | $190K | |
| 2019 | 3,820 | $162K | |
| 2020 | 4,474 | $236K | |
| 2021 | 5,324 | $164K | |
| 2022 | 5,641 | $180K | |
| 2023 | 6,517 | $209K | |
| 2024incomplete | 5,058 | $163K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 8,672 | 8,166 | $446K |
| 92060 | 29% | 11,233 | 10,609 | $376K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 17% | 2,270 | 2,140 | $220K |
| 92015 | Determination of refractive state | 15% | 9,460 | 8,929 | $195K |
| V2020 | Frames, purchases | 2.3% | 778 | 536 | $31K |
| 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 | 1.3% | 240 | 227 | $17K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 874 | 622 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 877 | 632 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 353 | 296 | $3K |
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.