Jones, Edward
Jones, Edward was paid $498K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.
33Billing provider infoJONES, EDWARD
KENT, WA 98032
KENT, WA 98032
33aNPI1164590030assigned 11/30/2006
33bProvider typeOptometrist
28Total paid$498K
24GClaims17,779
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#37 of 565
Median peer was paid$23K
This provider vs. median21×
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 | |
|---|---|---|---|
| 2018 | 2,200 | $64K | |
| 2019 | 3,379 | $105K | |
| 2020 | 1,989 | $56K | |
| 2021 | 3,056 | $79K | |
| 2022 | 2,371 | $74K | |
| 2023 | 2,420 | $65K | |
| 2024incomplete | 2,364 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 42% | 3,113 | 3,009 | $209K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 1,991 | 1,941 | $119K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 5,984 | 5,659 | $83K |
| 92015 | Determination of refractive state | 9.3% | 5,098 | 4,948 | $47K |
| 92341 | 3.3% | 1,112 | 1,036 | $16K | |
| V2799 | Vision item or service, miscellaneous | 1.7% | 92 | 91 | $8K |
| V2020 | Frames, purchases | 1.6% | 275 | 230 | $8K |
| V2599 | Contact lens, other type | 1.2% | 60 | 60 | $6K |
| 92342 | <1% | 54 | 53 | $787.08 |
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.