Holloway, Kenny
Holloway, Kenny was paid $165K by Medicaid between Jan 2018 and May 2021, across 10 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 32% of everything it billed.
33Billing provider infoHOLLOWAY, KENNY
JASPER, GA 30143
JASPER, GA 30143
33aNPI1912990714assigned 08/26/2005
33bProvider typeOptometrist
28Total paid$165K
24GClaims6,151
24DCodes billed10
24AFirst – last monthJan 2018 – May 2021
Compared with peers
Next to other Optometrist providers in Georgia
Rank by total paid#15 of 71
Median peer was paid$10K
This provider vs. median16×
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 | 3,170 | $89K | |
| 2019 | 1,853 | $49K | |
| 2020 | 682 | $16K | |
| 2021 | 446 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 32% | 1,330 | 1,330 | $53K |
| V2020 | Frames, purchases | 29% | 1,975 | 1,968 | $48K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 20% | 1,861 | 1,854 | $32K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.1% | 257 | 256 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.6% | 143 | 142 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.2% | 103 | 103 | $5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.7% | 72 | 72 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 66 | 66 | $2K |
| V2750 | Anti-reflective coating, per lens | <1% | 12 | 12 | $245.80 |
| 92015 | Determination of refractive state | <1% | 332 | 331 | $140.00 |
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.