Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › KY › Shelbyville › NPI 1932361367

Dugger, Matthew

Dugger, Matthew was paid $282K by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 50% of everything it billed.

33Billing provider infoDUGGER, MATTHEW
SHELBYVILLE, KY 40065
33aNPI1932361367assigned 06/26/2008
33bProvider typeOptometrist
28Total paid$282K
24GClaims6,971
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#200 of 683
Median peer was paid$123K
This provider vs. median2.3×

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$10K2018201920202021202220232024
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
2018536$28K
20191,417$59K
20201,644$54K
2021686$21K
202277$5K
2023948$47K
2024incomplete1,663$67K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 50% 2,235 2,059 $140K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 26% 815 791 $73K
V2020 Frames, purchases 10% 1,186 1,067 $29K
92340 Fitting of spectacles, except for aphakia; monofocal 8.8% 874 824 $25K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.8% 451 411 $8K
V2784 Lens, polycarbonate or equal, any index, per lens 1.3% 550 494 $4K
92015 Determination of refractive state <1% 743 696 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 81 76 $1K
V2750 Anti-reflective coating, per lens <1% 36 36 $260.22

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.