James, Jeffrey
James, Jeffrey was paid $100K by Medicaid between Jan 2018 and Feb 2023, across 9 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 38% of everything it billed.
33Billing provider infoJAMES, JEFFREY
FREEPORT, IL 61032
FREEPORT, IL 61032
33aNPI1184682635assigned 05/03/2006
33bProvider typeOptometrist
28Total paid$100K
24GClaims4,187
24DCodes billed9
24AFirst – last monthJan 2018 – Feb 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#416 of 1,069
Median peer was paid$56K
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 | 979 | $20K | |
| 2019 | 1,398 | $34K | |
| 2020 | 1,098 | $27K | |
| 2021 | 700 | $19K | |
| 2023 | 12 | $262.65 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 38% | 1,341 | 1,314 | $37K |
| 92015 | Determination of refractive state | 27% | 1,534 | 1,506 | $27K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 316 | 315 | $13K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.9% | 477 | 406 | $9K |
| 92002 | 7.4% | 327 | 252 | $7K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 84 | 84 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.6% | 40 | 40 | $2K |
| 92341 | 1.5% | 53 | 53 | $2K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 15 | 15 | $587.20 |
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.