Avery, Dwight
Avery, Dwight was paid $380K by Medicaid between Jan 2018 and Mar 2022, across 16 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 27% of everything it billed.
33Billing provider infoAVERY, DWIGHT
HAZARD, KY 41701
HAZARD, KY 41701
33aNPI1992883243assigned 11/02/2006
33bProvider typeOptometrist
28Total paid$380K
24GClaims14,250
24DCodes billed16
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#143 of 683
Median peer was paid$123K
This provider vs. median3.1×
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 | 5,585 | $155K | |
| 2019 | 6,266 | $164K | |
| 2020 | 2,373 | $61K | |
| 2021 | 12 | $220.00 | |
| 2022 | 14 | $280.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 27% | 2,243 | 2,215 | $101K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 2,294 | 2,270 | $73K |
| V2020 | Frames, purchases | 18% | 2,397 | 2,361 | $68K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 11% | 2,103 | 2,062 | $41K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.7% | 837 | 746 | $33K |
| 92002 | 6.8% | 522 | 509 | $26K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.9% | 1,449 | 1,418 | $11K |
| 92083 | 1.7% | 135 | 134 | $6K | |
| 92015 | Determination of refractive state | 1.6% | 367 | 362 | $6K |
| 92250 | 1.1% | 112 | 110 | $4K | |
| 92225 | <1% | 103 | 101 | $3K | |
| V2760 | Scratch resistant coating, per lens | <1% | 1,362 | 1,337 | $3K |
4 more codes
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.