Elliott, James
Elliott, James was paid $287K by Medicaid between Jan 2018 and Apr 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 55% of everything it billed.
33Billing provider infoELLIOTT, JAMES
ASHLAND, KY 41102
ASHLAND, KY 41102
33aNPI1174688097assigned 12/22/2006
33bProvider typeOptometrist
28Total paid$287K
24GClaims5,318
24DCodes billed4
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#197 of 683
Median peer was paid$123K
This provider vs. median2.3×
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
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 | 1,444 | $93K | |
| 2019 | 1,433 | $81K | |
| 2020 | 1,895 | $90K | |
| 2021 | 546 | $21K |
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 | 55% | 2,360 | 1,914 | $157K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 39% | 2,057 | 1,782 | $111K |
| 92250 | 3.8% | 364 | 302 | $11K | |
| 92015 | Determination of refractive state | 2.7% | 537 | 512 | $8K |
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.