Abell, Thomas
Abell, Thomas was paid $404K by Medicaid between Nov 2020 and Nov 2024, across 14 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 27% of everything it billed.
33Billing provider infoABELL, THOMAS
CAMPBELLSVILLE, KY 42718
CAMPBELLSVILLE, KY 42718
33aNPI1942833397assigned 02/13/2020
33bProvider typeOptometrist
28Total paid$404K
24GClaims8,508
24DCodes billed14
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#134 of 683
Median peer was paid$123K
This provider vs. median3.3×
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
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 | |
|---|---|---|---|
| 2020 | 184 | $9K | |
| 2021 | 1,846 | $93K | |
| 2022 | 1,843 | $91K | |
| 2023 | 2,240 | $102K | |
| 2024incomplete | 2,395 | $109K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 27% | 1,875 | 1,806 | $111K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 1,775 | 1,734 | $107K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 1,143 | 1,101 | $100K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.6% | 994 | 924 | $39K |
| 92015 | Determination of refractive state | 6.0% | 1,401 | 1,360 | $24K |
| 92133 | 4.0% | 537 | 514 | $16K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 29 | 28 | $2K |
| V2020 | Frames, purchases | <1% | 410 | 205 | $1K |
| 92202 | <1% | 60 | 57 | $1K | |
| 92002 | <1% | 14 | 14 | $723.38 | |
| S0516 | Safety eyeglass frames | <1% | 42 | 42 | $671.16 |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 69 | 69 | $621.08 |
2 more codes
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.