Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jones, Michael

Jones, Michael was paid $396K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 27% of everything it billed.

33Billing provider infoJONES, MICHAEL
LAS VEGAS, NV 89145
33aNPI1174571442assigned 05/05/2006
33bProvider typeOptometrist
28Total paid$396K
24GClaims14,833
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Nevada

Rank by total paid#38 of 373
Median peer was paid$39K
This provider vs. median10×

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$10K2018201920202021202220232024
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
20181,394$43K
20191,355$32K
20202,517$65K
20212,638$70K
20222,580$68K
20232,356$66K
2024incomplete1,993$52K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 27% 2,378 2,337 $107K
V2025 Deluxe frame 20% 1,650 1,650 $80K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 1,521 1,507 $73K
V2020 Frames, purchases 13% 1,431 1,398 $53K
92340 Fitting of spectacles, except for aphakia; monofocal 8.4% 2,142 2,134 $33K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 7.5% 1,279 1,237 $30K
92015 Determination of refractive state 3.0% 2,515 2,470 $12K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.5% 1,198 1,132 $6K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 703 698 $3K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 16 13 $302.40

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.