Jackson Davenport Vision, INC.
Jackson Davenport Vision, INC. was paid $425K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoJACKSON DAVENPORT VISION, INC.
SUMMERVILLE, SC 29485
SUMMERVILLE, SC 29485
33aNPI1184719387assigned 10/04/2006
33bProvider typeOptometrist
28Total paid$425K
24GClaims13,894
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#28 of 425
Median peer was paid$22K
This provider vs. median20×
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 | 2,006 | $61K | |
| 2019 | 2,276 | $68K | |
| 2020 | 1,780 | $55K | |
| 2021 | 2,418 | $71K | |
| 2022 | 2,665 | $77K | |
| 2023 | 1,500 | $52K | |
| 2024incomplete | 1,249 | $41K |
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 | 32% | 1,698 | 1,665 | $135K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 1,930 | 1,919 | $133K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 4,349 | 4,289 | $74K |
| 92015 | Determination of refractive state | 12% | 3,683 | 3,646 | $50K |
| V2020 | Frames, purchases | 4.1% | 371 | 369 | $17K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.7% | 1,069 | 523 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.2% | 794 | 394 | $5K |
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.
From NPPES
Who's on the registration
Authorized officialDAVENPORT, KENNETH (PRESIDENT)