Jones, Wayne
Jones, Wayne was paid $207K by Medicaid between Jan 2018 and Dec 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 87% of everything it billed.
33Billing provider infoJONES, WAYNE
RAPID CITY, SD 57701
RAPID CITY, SD 57701
33aNPI1174660252assigned 01/30/2007
33bProvider typeOptometrist
28Total paid$207K
24GClaims3,426
24DCodes billed3
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in South Dakota
Rank by total paid#36 of 100
Median peer was paid$113K
This provider vs. median1.8×
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 | 756 | $42K | |
| 2019 | 617 | $34K | |
| 2020 | 268 | $16K | |
| 2021 | 346 | $22K | |
| 2022 | 470 | $30K | |
| 2023 | 422 | $24K | |
| 2024incomplete | 547 | $38K |
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 | 87% | 1,522 | 1,470 | $180K |
| 92015 | Determination of refractive state | 9.7% | 1,839 | 1,831 | $20K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.1% | 65 | 65 | $6K |
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.