Heltsley Eye Care, PLLC
Heltsley Eye Care, PLLC was paid $182K by Medicaid between Jan 2019 and Nov 2024, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoHELTSLEY EYE CARE, PLLC
HOPKINSVILLE, KY 42240
HOPKINSVILLE, KY 42240
33aNPI1982883161assigned 10/24/2007
33bProvider typeOptometrist
28Total paid$182K
24GClaims2,711
24DCodes billed3
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#277 of 683
Median peer was paid$123K
This provider vs. median1.5×
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 | 435 | $27K | |
| 2020 | 451 | $29K | |
| 2021 | 508 | $33K | |
| 2022 | 455 | $32K | |
| 2023 | 538 | $38K | |
| 2024incomplete | 324 | $23K |
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 | 49% | 1,445 | 1,368 | $88K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 589 | 562 | $50K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 24% | 677 | 639 | $43K |
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 officialHELTSLEY, JOHN (MEMBER)