Jacoby, David
Jacoby, David was paid $806.40 by Medicaid between Aug 2019 and Dec 2021, across 4 billing codes. Its largest line is V2020, Frames, purchases — 56% of everything it billed.
33Billing provider infoJACOBY, DAVID
OSAGE CITY, KS 66523
OSAGE CITY, KS 66523
33aNPI1003811761assigned 06/17/2005
33bProvider typeOptometrist
28Total paid$806.40
24GClaims122
24DCodes billed4
24AFirst – last monthAug 2019 – Dec 2021
Compared with peers
Next to other Optometrist providers in Kansas
Rank by total paid#291 of 349
Median peer was paid$17K
This provider vs. median0.0×
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
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 | 91 | $737.10 | |
| 2021 | 31 | $69.30 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 56% | 14 | 13 | $455.00 |
| 92015 | Determination of refractive state | 30% | 48 | 40 | $239.40 |
| V2760 | Scratch resistant coating, per lens | 14% | 16 | 14 | $112.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 44 | 40 | $0.00 |
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.