Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Wilson, Kathryn

Wilson, Kathryn was paid $101K by Medicaid between Jul 2020 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.

33Billing provider infoWILSON, KATHRYN
SOMERSET, KY 42501
33aNPI1851777825assigned 07/31/2015
33bProvider typeOptometrist
28Total paid$101K
24GClaims1,811
24DCodes billed6
24AFirst – last monthJul 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#376 of 683
Median peer was paid$123K
This provider vs. median0.8×

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$5.0K$10K2018201920202021202220232024
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
2020327$11K
2021521$22K
202214$283.08
2024incomplete949$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 34% 378 371 $34K
92340 Fitting of spectacles, except for aphakia; monofocal 32% 545 508 $32K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 31% 473 460 $32K
92015 Determination of refractive state 1.2% 371 345 $1K
92065 <1% 28 13 $883.17
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 16 14 $682.08

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.