Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Elam, Jimmy

Elam, Jimmy was paid $6K by Medicaid between Feb 2018 and May 2021, across 6 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 56% of everything it billed.

33Billing provider infoELAM, JIMMY
POPLAR BLUFF, MO 63901
33aNPI1194718379assigned 08/24/2005
33bProvider typeOptometrist
28Total paid$6K
24GClaims590
24DCodes billed6
24AFirst – last monthFeb 2018 – May 2021
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#375 of 547
Median peer was paid$19K
This provider vs. median0.3×

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

$0$500$1.0K$1.5K2018201920202021202220232024
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
2018191$3K
2019247$2K
2020102$375.00
202150$195.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 56% 218 209 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 20% 27 27 $1K
92015 Determination of refractive state 16% 134 131 $889.00
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8.0% 12 12 $440.00
V2020 Frames, purchases 0% 169 166 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 30 29 $0.00

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.