Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Gregory, Harold

Gregory, Harold was paid $502K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 52% of everything it billed.

33Billing provider infoGREGORY, HAROLD
LEXINGTON, KY 40511
33aNPI1912010182assigned 08/15/2006
33bProvider typeOptometrist
28Total paid$502K
24GClaims11,720
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#98 of 683
Median peer was paid$123K
This provider vs. median4.1×

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$10K$15K2018201920202021202220232024
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
20182,286$112K
2019732$33K
2020222$7K
20211,622$68K
20222,589$109K
20232,438$100K
2024incomplete1,831$74K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 52% 2,824 2,802 $260K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 42% 3,074 3,043 $212K
92015 Determination of refractive state 5.9% 5,808 5,697 $29K
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% 14 13 $596.82

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.