Sutton, James

Sutton, James was paid $233K 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 — 39% of everything it billed.

33Billing provider infoSUTTON, JAMES
OCEAN SPRINGS, MS 39564

33aNPI1336252774assigned 08/17/2006

33bProvider typeOphthalmology Physician

28Total paid$233K

24GClaims5,516

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Ophthalmology Physician providers in Mississippi

Rank by total paid#12 of 75

Median peer was paid$24K

This provider vs. median9.9×

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	1,021	$42K
2019	1,232	$62K
2020	934	$47K
2021	906	$36K
2022	141	$6K
2023	753	$25K
2024incomplete	529	$16K

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	39%	1,153	948	$91K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	31%	1,068	978	$71K
92015	Determination of refractive state	19%	1,729	1,544	$44K
92340	Fitting of spectacles, except for aphakia; monofocal	7.7%	879	827	$18K
V2020	Frames, purchases	3.7%	290	263	$9K
92134		<1%	86	77	$589.07
3072F		0%	311	300	$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.