Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Lee, Terri

Lee, Terri was paid $838K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.

33Billing provider infoLEE, TERRI
RUSSELL SPRINGS, KY 42642
33aNPI1982753695assigned 01/10/2007
33bProvider typeOptometrist
28Total paid$838K
24GClaims18,640
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#40 of 683
Median peer was paid$123K
This provider vs. median6.8×

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

$0$10K$20K2018201920202021202220232024
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
20181,990$103K
20192,645$116K
20202,711$110K
20213,127$132K
20223,074$132K
20233,033$131K
2024incomplete2,060$114K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 33% 4,414 4,192 $279K
92340 Fitting of spectacles, except for aphakia; monofocal 30% 4,035 3,851 $249K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 2,223 2,133 $194K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.1% 1,137 899 $43K
92341 4.8% 731 672 $41K
92015 Determination of refractive state 3.1% 5,641 5,338 $26K
92133 <1% 55 52 $2K
92250 <1% 49 42 $2K
V2020 Frames, purchases <1% 285 183 $903.75
92310 <1% 15 12 $836.88
92370 <1% 27 26 $755.45
92083 <1% 16 12 $607.44
1 more codes
S9999 Sales tax <1% 12 $31.56

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.