Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OH › Lancaster › NPI 1104318765

Hughes, Ashley

Hughes, Ashley was paid $48K by Medicaid between Jul 2020 and Jul 2024, across 7 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 38% of everything it billed.

33Billing provider infoHUGHES, ASHLEY
LANCASTER, OH 43130
33aNPI1104318765assigned 05/30/2018
33bProvider typeOptometrist
28Total paid$48K
24GClaims1,784
24DCodes billed7
24AFirst – last monthJul 2020 – Jul 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#519 of 1,098
Median peer was paid$41K
This provider vs. median1.2×

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$1.0K$2.0K$3.0K2018201920202021202220232024
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
2020199$8K
2021590$16K
2022539$16K
2023331$6K
2024incomplete125$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 38% 248 237 $18K
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 29% 295 272 $14K
92015 Determination of refractive state 18% 946 826 $9K
V2020 Frames, purchases 7.1% 170 170 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 6.5% 88 83 $3K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.2% 24 24 $572.24
92340 Fitting of spectacles, except for aphakia; monofocal <1% 13 12 $172.16

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.