Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Cox, James

Cox, James was paid $3K by Medicaid between Jul 2021 and Nov 2022, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 80% of everything it billed.

33Billing provider infoCOX, JAMES
FREELAND, WA 98249
33aNPI1215953252assigned 07/14/2006
33bProvider typeOptometrist
28Total paid$3K
24GClaims121
24DCodes billed2
24AFirst – last monthJul 2021 – Nov 2022
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#421 of 565
Median peer was paid$23K
This provider vs. median0.1×

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
202168$2K
202253$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 80% 26 26 $2K
92015 Determination of refractive state 20% 95 93 $587.10

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.