Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jackson, Tiffany

Jackson, Tiffany was paid $437K by Medicaid between Aug 2018 and Nov 2024, across 21 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 52% of everything it billed.

33Billing provider infoJACKSON, TIFFANY
WILMINGTON, NC 28401
33aNPI1083837546assigned 04/11/2007
33bProvider typeOptometrist
28Total paid$437K
24GClaims13,688
24DCodes billed21
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in North Carolina

Rank by total paid#58 of 636
Median peer was paid$41K
This provider vs. median11×

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$5.0K$10K$15K2018201920202021202220232024
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
2018325$8K
20191,980$83K
20201,473$51K
20212,587$79K
20221,454$39K
20233,193$83K
2024incomplete2,676$95K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0620 Routine ophthalmological examination including refraction; new patient 52% 2,812 2,311 $228K
S0621 Routine ophthalmological examination including refraction; established patient 18% 1,151 1,024 $78K
92283 8.2% 1,341 1,204 $36K
92340 Fitting of spectacles, except for aphakia; monofocal 6.8% 2,300 1,984 $30K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6.6% 879 548 $29K
92370 3.2% 2,260 2,004 $14K
92133 2.2% 428 312 $10K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity <1% 29 29 $3K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 45 38 $3K
68761 <1% 28 13 $1K
76514 <1% 216 150 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 31 26 $1K
9 more codes
92083 <1% 30 $1K
92250 <1% 59 $1K
92015 Determination of refractive state <1% 17 $286.00
1036F 0% 539 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 531 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 581 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 247 $0.00
G9905 Patient not screened for tobacco use 0% 139 $0.00
92341 0% 25 $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.