Barker-Sutton, Teshawna
Barker-Sutton, Teshawna was paid $1.04M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
33Billing provider infoBARKER-SUTTON, TESHAWNA
LONDON, KY 40741
LONDON, KY 40741
33aNPI1891796314assigned 08/09/2005
33bProvider typeOptometrist
28Total paid$1.04M
24GClaims53,604
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#25 of 683
Median peer was paid$123K
This provider vs. median8.5×
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 | 4,488 | $135K | |
| 2019 | 6,472 | $162K | |
| 2020 | 9,470 | $174K | |
| 2021 | 6,167 | $104K | |
| 2022 | 7,803 | $132K | |
| 2023 | 9,086 | $159K | |
| 2024incomplete | 10,118 | $174K |
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 | 26% | 4,079 | 3,946 | $270K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 2,759 | 2,669 | $246K |
| V2020 | Frames, purchases | 17% | 6,868 | 6,388 | $178K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 5,290 | 5,178 | $158K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.6% | 4,849 | 4,543 | $79K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.2% | 5,594 | 5,189 | $44K |
| 92015 | Determination of refractive state | 1.2% | 6,014 | 5,836 | $13K |
| V2760 | Scratch resistant coating, per lens | <1% | 4,650 | 4,521 | $9K |
| 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% | 251 | 192 | $9K |
| 92370 | <1% | 326 | 308 | $9K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 583 | 543 | $8K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 398 | 343 | $7K |
24 more codes
| 92341 | <1% | 191 | $6K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 203 | $3K |
| S0516 | Safety eyeglass frames | <1% | 56 | $894.88 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 63 | $580.14 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 38 | $567.19 |
| V2499 | Variable sphericity lens, other type | <1% | 16 | $443.00 |
| S9999 | Sales tax | <1% | 96 | $162.48 |
| 4004F | 0% | 217 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,952 | $0.00 |
| 99199 | Unlisted special service, procedure or report | 0% | 125 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 538 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 249 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 75 | $0.00 |
| 2026F | 0% | 51 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 37 | $0.00 |
| 2022F | 0% | 16 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 12 | $0.00 |
| G2104 | Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed | 0% | 35 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 2,857 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 658 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 372 | $0.00 |
| 1036F | 0% | 3,635 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 437 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 14 | $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.