Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kentucky Medical Services Foundation

Kentucky Medical Services Foundation was paid $74K by Medicaid between Feb 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.

33Billing provider infoKENTUCKY MEDICAL SERVICES FOUNDATION
LEXINGTON, KY 40536
33aNPI1962605147assigned 06/06/2007
33bProvider typeOptometrist
28Total paid$74K
24GClaims3,543
24DCodes billed14
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#414 of 683
Median peer was paid$123K
This provider vs. median0.6×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
2018101$3K
2019279$3K
2020243$6K
2021701$15K
20221,732$40K
202396$687.48
2024incomplete391$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 356 251 $17K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 235 178 $14K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 351 296 $10K
92015 Determination of refractive state 12% 1,762 1,471 $9K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6.8% 92 85 $5K
V2020 Frames, purchases 6.3% 174 163 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6.1% 116 106 $4K
92340 Fitting of spectacles, except for aphakia; monofocal 6.0% 172 161 $4K
92060 3.0% 58 56 $2K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.8% 14 14 $1K
V2784 Lens, polycarbonate or equal, any index, per lens 1.6% 160 151 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $247.50
2 more codes
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 15 $191.88
99024 0% 26 $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.

From NPPES

Who's on the registration

Authorized officialKARPF, MICHAEL (EVPHO)
Same official

Other billing entities under KARPF, MICHAEL

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.