Tri-State Doctors of
Tri-State Doctors of was paid $469K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 24% of everything it billed.
LOUISVILLE, KY 40223
Next to other Eyewear Supplier providers in Kentucky
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 941 | $17K | |
| 2019 | 1,757 | $26K | |
| 2020 | 1,861 | $38K | |
| 2021 | 4,133 | $73K | |
| 2022 | 3,113 | $77K | |
| 2023 | 5,193 | $121K | |
| 2024incomplete | 4,904 | $118K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 2,070 | 1,820 | $111K |
| V2020 | Frames, purchases | 23% | 5,403 | 4,650 | $109K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 19% | 5,520 | 4,750 | $88K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 3,727 | 3,260 | $88K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 9.0% | 3,865 | 3,473 | $42K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.3% | 739 | 540 | $30K |
| 92250 | <1% | 452 | 379 | $642.08 | |
| 92310 | <1% | 38 | 15 | $590.00 | |
| 92370 | <1% | 25 | 25 | $409.00 | |
| 92015 | Determination of refractive state | <1% | 32 | 32 | $241.65 |
| V2750 | Anti-reflective coating, per lens | 0% | 31 | 31 | $0.00 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Tri-State Doctors of | Bowling Green, KY | $4.34M |
| Tri-State Doctors of | Louisville, KY | $4.16M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $3.86M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $3.58M |
| Ky Doctors of Optometry, PLLC | Elizabethtown, KY | $2.96M |
| Ky Doctors of Optometry, PLLC | Lexington, KY | $2.80M |
| Ky Doctors of Optometry, PLLC | Ashland, KY | $2.68M |
| Ky Doctors of Optometry, PLLC | Paducah, KY | $2.09M |
| Ky Doctors of Optometry, PLLC | Lexington, KY | $1.83M |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $1.57M |
| Tri-State Doctors of | Owensboro, KY | $1.30M |
| Ky Doctors of Optometry, PLLC | Richmond, KY | $1.18M |
| Ky Doctors of Optometry, PLLC | Somerset, KY | $1.01M |
| Ky Doctors of Optometry, PLLC | Georgetown, KY | $934K |
| Ky Doctors of Optometry, PLLC | Louisville, KY | $793K |
| Ky Doctors of Optometry, PLLC | Hopkinsville, KY | $790K |
| Ky Doctors of Optometry, PLLC | Florence, KY | $742K |
| Tri-State Doctors of | Louisville, KY | $620K |
| Ky Doctors of Optometry, PLLC | Frankfort, KY | $605K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.