Nichols, Joshua
Nichols, Joshua was paid $567K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoNICHOLS, JOSHUA
SOMERSET, KY 42503
SOMERSET, KY 42503
33aNPI1962440784assigned 06/03/2006
33bProvider typeOptometrist
28Total paid$567K
24GClaims22,152
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#76 of 683
Median peer was paid$123K
This provider vs. median4.6×
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 | 4,230 | $123K | |
| 2019 | 4,555 | $119K | |
| 2020 | 3,276 | $75K | |
| 2021 | 4,839 | $125K | |
| 2022 | 2,559 | $64K | |
| 2023 | 1,169 | $30K | |
| 2024incomplete | 1,524 | $31K |
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 | 35% | 3,014 | 2,900 | $199K |
| V2020 | Frames, purchases | 18% | 3,410 | 3,259 | $105K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 1,102 | 1,044 | $95K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 2,965 | 2,837 | $84K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.5% | 2,187 | 2,025 | $43K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.1% | 2,310 | 2,206 | $18K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 788 | 717 | $16K |
| V2760 | Scratch resistant coating, per lens | <1% | 2,359 | 2,243 | $4K |
| V2755 | U-v lens, per lens | <1% | 185 | 182 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 35 | 27 | $1K |
| 92370 | <1% | 28 | 27 | $812.00 | |
| 92015 | Determination of refractive state | <1% | 3,595 | 3,422 | $444.84 |
1 more codes
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 174 | $0.00 |
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.