Jacks, Brian
Jacks, Brian was paid $5K by Medicaid between Mar 2021 and Jun 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 77% of everything it billed.
33Billing provider infoJACKS, BRIAN
KENNEWICK, WA 99336
KENNEWICK, WA 99336
33aNPI1346479011assigned 07/02/2009
33bProvider typeOptometrist
28Total paid$5K
24GClaims167
24DCodes billed4
24AFirst – last monthMar 2021 – Jun 2021
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#385 of 565
Median peer was paid$23K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 167 | $5K |
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 | 77% | 41 | 41 | $4K |
| V2020 | Frames, purchases | 16% | 43 | 43 | $839.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.7% | 14 | 14 | $348.32 |
| 92015 | Determination of refractive state | <1% | 69 | 69 | $30.00 |
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.