Borders Eyecare Specialists PLLC
Borders Eyecare Specialists PLLC was paid $217K by Medicaid between Sep 2019 and Nov 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoBORDERS EYECARE SPECIALISTS PLLC
ELIZABETHTOWN, KY 42701
ELIZABETHTOWN, KY 42701
33aNPI1982263174assigned 06/11/2019
33bProvider typeOptometrist
28Total paid$217K
24GClaims5,948
24DCodes billed11
24AFirst – last monthSep 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#251 of 683
Median peer was paid$123K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2019 | 45 | $940.59 | |
| 2020 | 160 | $7K | |
| 2021 | 918 | $34K | |
| 2022 | 1,534 | $53K | |
| 2023 | 1,576 | $61K | |
| 2024incomplete | 1,715 | $62K |
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 | 34% | 888 | 815 | $74K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 1,035 | 961 | $41K |
| V2020 | Frames, purchases | 13% | 749 | 707 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 405 | 391 | $27K |
| 92015 | Determination of refractive state | 9.0% | 1,584 | 1,478 | $19K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.1% | 597 | 561 | $13K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.7% | 479 | 446 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.8% | 160 | 140 | $4K |
| 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 | <1% | 20 | 12 | $671.00 |
| V2760 | Scratch resistant coating, per lens | <1% | 18 | 16 | $432.00 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | 13 | $301.00 |
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 officialBORDERS, BRITT (OWNER)