Leadingham, John
Leadingham, John was paid $101K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoLEADINGHAM, JOHN
ASHLAND, KY 41101
ASHLAND, KY 41101
33aNPI1891762514assigned 03/01/2006
33bProvider typeOptometrist
28Total paid$101K
24GClaims4,075
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#375 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
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 | 2,881 | $94K | |
| 2019 | 68 | $715.83 | |
| 2020 | 47 | $456.00 | |
| 2021 | 13 | $0.00 | |
| 2022 | 52 | $195.00 | |
| 2023 | 383 | $2K | |
| 2024incomplete | 631 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 461 | 456 | $32K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 190 | 187 | $18K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 520 | 517 | $17K |
| V2020 | Frames, purchases | 16% | 1,048 | 813 | $17K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.8% | 364 | 336 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.6% | 651 | 508 | $4K |
| 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 | 3.1% | 62 | 56 | $3K |
| 92015 | Determination of refractive state | 1.7% | 170 | 162 | $2K |
| S0516 | Safety eyeglass frames | <1% | 63 | 62 | $990.76 |
| V2760 | Scratch resistant coating, per lens | <1% | 331 | 327 | $652.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 31 | 31 | $559.40 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 63 | 62 | $558.98 |
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.