Kregg Koons O.D., INC.
Kregg Koons O.D., INC. was paid $619K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.
33Billing provider infoKREGG KOONS O.D., INC.
MUNCIE, IN 47304
MUNCIE, IN 47304
33aNPI1902143456assigned 01/03/2013
33bProvider typeOptometrist
28Total paid$619K
24GClaims16,550
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#98 of 743
Median peer was paid$22K
This provider vs. median28×
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 | 1,473 | $35K | |
| 2019 | 2,113 | $70K | |
| 2020 | 2,363 | $88K | |
| 2021 | 2,910 | $103K | |
| 2022 | 2,609 | $99K | |
| 2023 | 3,016 | $117K | |
| 2024incomplete | 2,066 | $105K |
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 | 42% | 3,343 | 3,042 | $260K |
| V2020 | Frames, purchases | 20% | 3,488 | 3,127 | $126K |
| 92015 | Determination of refractive state | 13% | 5,769 | 5,135 | $80K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 2,680 | 1,611 | $76K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 806 | 718 | $65K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.8% | 452 | 300 | $11K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $415.03 |
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 officialKOONS, KREGG (OWNER)