Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ely, John

Ely, John was paid $11K by Medicaid between Jan 2018 and Mar 2018, across 6 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 63% of everything it billed.

33Billing provider infoELY, JOHN
FRONT ROYAL, VA 22630
33aNPI1356382048assigned 06/10/2006
33bProvider typeOptometrist
28Total paid$11K
24GClaims230
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2018
Compared with peers

Next to other Optometrist providers in Virginia

Rank by total paid#296 of 491
Median peer was paid$23K
This provider vs. median0.5×

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
2018230$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 63% 88 88 $7K
S0621 Routine ophthalmological examination including refraction; established patient 14% 34 34 $2K
S0620 Routine ophthalmological examination including refraction; new patient 6.3% 15 15 $675.00
V2020 Frames, purchases 5.5% 67 67 $588.96
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 5.5% 13 13 $585.00
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5.5% 13 13 $585.00

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.