Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 5 | 263 | 279 | $30,977 | $17,276 |
| 2022 | 7 | 288 | 598 | $34,827 | $18,230 |
| 2021 | 5 | 290 | 302 | $34,159 | $20,493 |
| 2020 | 7 | 343 | 1,430 | $41,000 | $24,157 |
All Medicare Procedures & Services
24 procedure records from CMS Medicare Utilization
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | Office | 2023 | 104 | 105 | $12,990 | $7,657 | 58.9% |
| 92004 | New patient complete exam of visual system | Office | 2023 | 68 | 68 | $9,060 | $5,581 | 61.6% |
| 92012 | Established patient problem focused exam of visual system | Office | 2023 | 43 | 57 | $5,597 | $2,724 | 48.7% |
| 92250 | Photography of the retina | Office | 2023 | 37 | 38 | $2,660 | $963.17 | 36.2% |
| 92083 | Exam of visual field with extended testing | Office | 2023 | 11 | 11 | $670.00 | $351.82 | 52.5% |
| 92014 | Established patient complete exam of visual system | Office | 2022 | 125 | 125 | $15,494 | $9,261 | 59.8% |
| 92004 | New patient complete exam of visual system | Office | 2022 | 65 | 65 | $8,419 | $4,199 | 49.9% |
| 92012 | Established patient problem focused exam of visual system | Office | 2022 | 42 | 50 | $4,784 | $2,443 | 51.1% |
| 66984 | Removal of cataract with insertion of prosthetic lens | Office | 2022 | 11 | 313 | $3,375 | $1,159 | 34.3% |
| 92250 | Photography of the retina | Office | 2022 | 21 | 21 | $1,470 | $510.57 | 34.7% |
| 92083 | Exam of visual field with extended testing | Office | 2022 | 12 | 12 | $700.00 | $390.00 | 55.7% |
| 92133 | Imaging of optic nerve | Office | 2022 | 12 | 12 | $585.00 | $267.07 | 45.7% |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | Office | 2021 | 110 | 110 | $13,560 | $8,887 | 65.5% |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | Office | 2021 | 90 | 90 | $11,880 | $7,227 | 60.8% |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | Office | 2021 | 58 | 70 | $6,734 | $3,585 | 53.2% |
| 92250 | Photography of the retina | Office | 2021 | 20 | 20 | $1,400 | $544.87 | 38.9% |
| 92133 | Diagnostic imaging of optic nerve of eye | Office | 2021 | 12 | 12 | $585.00 | $248.76 | 42.5% |
| 92004 | Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits | Office | 2020 | 111 | 111 | $14,444 | $8,861 | 61.3% |
| 92014 | Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits | Office | 2020 | 99 | 100 | $12,250 | $7,776 | 63.5% |
| 92012 | Eye and medical examination for diagnosis and treatment, established patient | Office | 2020 | 52 | 63 | $6,076 | $3,801 | 62.5% |
| 66984 | Removal of cataract with insertion of lens | Office | 2020 | 17 | 1,089 | $4,320 | $1,633 | 37.8% |
| 92250 | Photography of the retina | Office | 2020 | 39 | 40 | $2,470 | $1,231 | 49.8% |
| 92083 | Measurement of field of vision during daylight conditions | Office | 2020 | 12 | 13 | $775.00 | $528.06 | 68.1% |
| 92133 | Diagnostic imaging of optic nerve of eye | Office | 2020 | 13 | 14 | $665.00 | $327.50 | 49.2% |
About Dr. Kenneth Cole, O.D
Dr. Kenneth Cole, O.D is a Optometrist healthcare provider based in Princeton, West Virginia. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/11/2016. The National Provider Identifier (NPI) number assigned to this provider is 1245682608.
As a Medicare-enrolled provider, Cole has provided services to 1,184 Medicare beneficiaries, totaling 2,609 services with total Medicare billing of $80,157. Data is available for 4 years (2020–2023), covering 24 distinct procedure/service records.
Practice Information
- Specialty Optometrist
- Location Princeton, WV
- Active Since 07/11/2016
- Last Updated 07/11/2016
- Taxonomy Code 152W00000X
- Entity Type Individual
- Practice Solo Practitioner
- NPI Number 1245682608
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Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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