Physician
Kenneth P. Adams, D.O.,P.C
Kenneth P. Adams, D.O.,P.C was paid $1.28M by Medicaid between Jan 2018 and Apr 2023, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoKENNETH P. ADAMS, D.O.,P.C
ALBUQUERQUE, NM 87122
ALBUQUERQUE, NM 87122
33aNPI1881961290assigned 11/30/2011
33bProvider typeOphthalmology Physician
28Total paid$1.28M
24GClaims20,810
24DCodes billed9
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Ophthalmology Physician providers in New Mexico
Rank by total paid#3 of 15
Median peer was paid$511K
This provider vs. median2.5×
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 | 4,043 | $233K | |
| 2019 | 3,610 | $211K | |
| 2020 | 3,664 | $226K | |
| 2021 | 4,444 | $252K | |
| 2022 | 3,638 | $279K | |
| 2023 | 1,411 | $85K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 38% | 3,922 | 3,899 | $486K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 37% | 5,210 | 5,163 | $471K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 2,882 | 2,775 | $175K |
| 92060 | 6.6% | 1,649 | 1,628 | $85K | |
| 92015 | Determination of refractive state | 3.0% | 5,722 | 5,682 | $39K |
| 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 | <1% | 91 | 90 | $13K |
| 95930 | <1% | 77 | 77 | $7K | |
| 92285 | <1% | 380 | 377 | $7K | |
| 99072 | <1% | 877 | 855 | $2K |
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 officialADAMS, KENNTH (SOLEOWNER/OPHTHALMOLOGIST)