Coleman, Justin
Coleman, Justin was paid $58K by Medicaid between Jan 2018 and Nov 2021, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 54% of everything it billed.
33Billing provider infoCOLEMAN, JUSTIN
MOUNT STERLING, KY 40353
MOUNT STERLING, KY 40353
33aNPI1922440494assigned 07/24/2013
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$58K
24GClaims1,933
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Kentucky
Rank by total paid#3 of 12
Median peer was paid$5K
This provider vs. median12×
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 | 369 | $10K | |
| 2019 | 293 | $10K | |
| 2021 | 1,271 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 54% | 344 | 334 | $31K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 117 | 113 | $8K |
| V2020 | Frames, purchases | 10% | 194 | 192 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.9% | 176 | 174 | $4K |
| 92015 | Determination of refractive state | 6.8% | 731 | 708 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.5% | 130 | 129 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.6% | 109 | 108 | $913.27 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.4% | 46 | 46 | $788.72 |
| V2760 | Scratch resistant coating, per lens | <1% | 86 | 86 | $130.00 |
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.