James L Barton LLC
James L Barton LLC was paid $595K by Medicaid between Jan 2018 and Dec 2024, across 24 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoJAMES L BARTON LLC
ANDALUSIA, AL 36420
ANDALUSIA, AL 36420
33aNPI1306152624assigned 08/24/2010
33bProvider typeOptometrist
28Total paid$595K
24GClaims25,677
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#40 of 346
Median peer was paid$59K
This provider vs. median10×
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 | 2,542 | $41K | |
| 2019 | 2,291 | $43K | |
| 2020 | 2,087 | $51K | |
| 2021 | 3,678 | $109K | |
| 2022 | 5,675 | $128K | |
| 2023 | 6,055 | $135K | |
| 2024incomplete | 3,349 | $88K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 3,899 | 3,671 | $201K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 1,467 | 1,400 | $109K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.6% | 3,351 | 3,275 | $57K |
| V2750 | Anti-reflective coating, per lens | 7.9% | 876 | 860 | $47K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 6.9% | 1,848 | 957 | $41K |
| 92015 | Determination of refractive state | 6.2% | 4,724 | 4,559 | $37K |
| 92250 | 3.8% | 941 | 821 | $23K | |
| V2499 | Variable sphericity lens, other type | 3.2% | 378 | 263 | $19K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.9% | 543 | 436 | $17K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2.4% | 317 | 252 | $15K |
| V2020 | Frames, purchases | 1.7% | 1,361 | 1,330 | $10K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.3% | 2,061 | 1,082 | $8K |
12 more codes
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.1% | 1,128 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 591 | $3K |
| 92275 | <1% | 43 | $500.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 48 | $157.60 |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 69 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 194 | $0.00 |
| G8421 | Bmi not documented and no reason is given | 0% | 22 | $0.00 |
| 83516 | 0% | 34 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 898 | $0.00 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 108 | $0.00 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 653 | $0.00 |
| 1036F | 0% | 123 | $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.
From NPPES
Who's on the registration
Authorized officialBARTON, JAMES (PRESIDENT)