Kyle Sexton, O.D., LLC
Kyle Sexton, O.D., LLC was paid $272K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 75% of everything it billed.
33Billing provider infoKYLE SEXTON, O.D., LLC
PUYALLUP, WA 98373
PUYALLUP, WA 98373
33aNPI1972778009assigned 04/29/2008
33bProvider typeOptometrist
28Total paid$272K
24GClaims7,434
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#77 of 565
Median peer was paid$23K
This provider vs. median12×
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 | 1,067 | $40K | |
| 2019 | 619 | $24K | |
| 2020 | 652 | $28K | |
| 2021 | 1,256 | $49K | |
| 2022 | 1,543 | $57K | |
| 2023 | 1,217 | $42K | |
| 2024incomplete | 1,080 | $32K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 75% | 2,419 | 2,408 | $204K |
| 92015 | Determination of refractive state | 15% | 3,855 | 3,832 | $41K |
| 92250 | 7.3% | 1,037 | 1,017 | $20K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.2% | 83 | 83 | $6K |
| 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% | 12 | 12 | $565.60 |
| 92081 | <1% | 28 | 27 | $448.36 |
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 officialSEXTON, KYLE (OWNER)