Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Jacksonville Vision Development Center PA

Jacksonville Vision Development Center PA was paid $165K by Medicaid between Feb 2020 and Nov 2024, across 6 billing codes. Its largest line is 92065, — 55% of everything it billed.

33Billing provider infoJACKSONVILLE VISION DEVELOPMENT CENTER PA
JACKSONVILLE, AR 72076
33aNPI1336782846assigned 10/28/2019
33bProvider typeOptometrist
28Total paid$165K
24GClaims3,773
24DCodes billed6
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Arkansas

Rank by total paid#120 of 354
Median peer was paid$79K
This provider vs. median2.1×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
2020668$29K
2021968$40K
2022856$39K
2023877$40K
2024incomplete404$17K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92065 55% 2,283 928 $91K
92340 Fitting of spectacles, except for aphakia; monofocal 24% 805 790 $40K
S0621 Routine ophthalmological examination including refraction; established patient 11% 310 309 $18K
S0620 Routine ophthalmological examination including refraction; new patient 6.1% 169 168 $10K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.3% 119 115 $4K
92066 1.3% 87 38 $2K

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 officialWESTFALL, PATRICIA (OWNER/PRESIDENT)