Duncan, Kelly
Duncan, Kelly was paid $68K by Medicaid between May 2019 and Nov 2020, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.
33Billing provider infoDUNCAN, KELLY
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1912954983assigned 05/27/2006
33bProvider typeOptometrist
28Total paid$68K
24GClaims3,629
24DCodes billed10
24AFirst – last monthMay 2019 – Nov 2020
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#224 of 698
Median peer was paid$19K
This provider vs. median3.5×
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 | |
|---|---|---|---|
| 2019 | 1,157 | $14K | |
| 2020 | 2,472 | $53K |
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 | 27% | 430 | 373 | $18K |
| 92015 | Determination of refractive state | 20% | 578 | 484 | $14K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 16% | 663 | 513 | $11K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 489 | 374 | $10K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.0% | 105 | 100 | $6K |
| V2020 | Frames, purchases | 5.9% | 611 | 497 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.2% | 169 | 163 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.8% | 306 | 251 | $2K |
| 92250 | <1% | 80 | 72 | $481.03 | |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | <1% | 198 | 191 | $384.00 |
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.