Hertneky, Randy
Hertneky, Randy was paid $201K by Medicaid between Jan 2018 and Dec 2020, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoHERTNEKY, RANDY
WRAY, CO 80758
WRAY, CO 80758
33aNPI1962489351assigned 12/27/2005
33bProvider typeOptometrist
28Total paid$201K
24GClaims5,966
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#141 of 425
Median peer was paid$49K
This provider vs. median4.1×
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 | 2,078 | $70K | |
| 2019 | 2,118 | $71K | |
| 2020 | 1,770 | $61K |
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 | 39% | 835 | 795 | $79K |
| V2020 | Frames, purchases | 18% | 1,080 | 1,008 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 249 | 239 | $29K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 676 | 640 | $25K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.3% | 996 | 930 | $17K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.7% | 1,031 | 960 | $13K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 55 | 52 | $2K |
| 92015 | Determination of refractive state | <1% | 1,044 | 996 | $617.85 |
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.