Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Whitlow, Cheryl

Whitlow, Cheryl was paid $119K by Medicaid between Jan 2018 and Jan 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 25% of everything it billed.

33Billing provider infoWHITLOW, CHERYL
EDMONTON, KY 42129
33aNPI1992701635assigned 06/27/2005
33bProvider typeOptometrist
28Total paid$119K
24GClaims4,879
24DCodes billed8
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers

Next to other Optometrist providers in Kentucky

Rank by total paid#349 of 683
Median peer was paid$123K
This provider vs. median1.0×

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
20181,911$53K
2019962$26K
2020549$11K
20211,286$26K
2022143$2K
202315$262.86
2024incomplete13$242.64
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 25% 346 331 $30K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 442 434 $30K
92340 Fitting of spectacles, except for aphakia; monofocal 16% 650 611 $20K
V2020 Frames, purchases 15% 717 667 $18K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 9.6% 590 565 $11K
92015 Determination of refractive state 4.1% 1,110 1,018 $5K
V2784 Lens, polycarbonate or equal, any index, per lens 3.4% 549 525 $4K
V2760 Scratch resistant coating, per lens <1% 475 469 $860.87

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.