Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Grimes, James

Grimes, James was paid $7K by Medicaid between Jan 2018 and Jun 2020, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 35% of everything it billed.

33Billing provider infoGRIMES, JAMES
OLYMPIA, WA 98502
33aNPI1104818814assigned 08/18/2005
33bProvider typeOptometrist
28Total paid$7K
24GClaims385
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#371 of 565
Median peer was paid$23K
This provider vs. median0.3×

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$2.0K2018201920202021202220232024
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
2018177$4K
2019109$947.80
202099$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 35% 222 221 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 30% 26 26 $2K
V2020 Frames, purchases 18% 76 73 $1K
92250 8.1% 12 12 $580.56
92083 7.1% 13 13 $514.02
92340 Fitting of spectacles, except for aphakia; monofocal 1.5% 36 35 $108.30

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.