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    David Ditto — Billing Profile & Reimbursement Data

    NPI 1225051956 · Nicholasville, KY · Optometrist

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    David Ditto is a optometrist provider located in Nicholasville, Kentucky. This profile covers 3 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationDavid Ditto
    Address104 Fairfield Dr
    CityNicholasville
    StateKY
    ZIP40356
    TaxonomyOptometrist
    NPI EnumeratedJuly 25, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$61.1K
    Medicare$6.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…80$70$5.9K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…40$20$900
    92145The provider measures the difference in inward and outward movement of the cornea when he applies metered air impulses on the cornea of one or both eyes. He then interprets the data and completes a…20$10$110

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    9201423342090$80$14K
    9225020337050$20$2K
    9214581040$10$430

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…260$70$16.7K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal410$30$12.8K
    V2020Frames, purchases470$30$11.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$90$10.4K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens200$20$3.3K
    V2784Lens, polycarbonate or equal, any index, per lens300$10$2.4K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.240$10$2K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…10$50$630
    V2760Scratch resistant coating, per lens290$1$580
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens20$10$250

    Showing 1–10 of 13

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Kentucky median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…514710790$60$98.4K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.498680410$80$69.5K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal348590730$40$62.5K
    V2020Frames, purchases284530530$20$55.2K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens337360270$20$33.2K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens175290340$10$18.9K
    V2784Lens, polycarbonate or equal, any index, per lens249460380$10$13.7K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…13616080$20$10.5K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.429640620$10$9.3K
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens639060$10$8.9K

    Showing 1–10 of 13

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with David Ditto, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jacob YunkerKYOphthalmology Physician$3.8M$0
    Peter BlackburnKYRetina Specialist (Ophthalmology) Physician$1M$251.2K
    Johannes EvansKYOphthalmology Physician$291.9K$588.5K
    Claire FraserKYRetina Specialist (Ophthalmology) Physician$540.9K$172K
    Kyle FergusonKYOphthalmology Physician$128.5K$458.2K
    David BlandfordKYOphthalmology Physician$260.1K$58.1K
    William CurtisKYOphthalmology Physician$216.2K$84.2K
    Paul PearsonKYRetina Specialist (Ophthalmology) Physician$198.8K$57.2K
    Michelle Abou-jaoudeKYOphthalmology Physician$194.6K$12.8K
    Peter TimoneyKYOphthalmic Plastic and Reconstructive Surgery Physician$148K$4.9K

    Nearby Providers

    Other providers in the same ZIP code as David Ditto, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Dx Solutions, LLCKYClinical Medical Laboratory$1.9M$24.9M
    Dungarvin Kentucky, LLC - LexingtonKYDevelopmentally Disabled Services Day Training Agency$0$23.7M
    Marshall Pediatric Therapy, LLCKYPediatric Occupational Therapist$0$15.9M
    Community Alternatives Kentucky, Inc.KYCase Management Agency$0$13.8M
    Lord's Legacy Life Ministries, Inc.KYDevelopmentally Disabled Services Day Training Agency$0$13.8M
    Brightview LLCKYMethadone Clinic$0$11.5M
    Revive Ministries IncKYAddiction (Substance Use Disorder) Counselor$0$9M
    Dennis GriffithKYDevelopmentally Disabled Services Day Training Agency$0$8.6M
    Revive Ministries IncKYSubstance Abuse Rehabilitation Facility$0$5.9M
    Full Circle Supports, LLCKYDevelopmentally Disabled Services Day Training Agency$0$5.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kentucky Distribution
    David Ditto — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky
    Medicaid Revenue by Year vs. Kentucky Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kentucky Distribution
    David Ditto — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kentucky