Ainley, Jeffrey
Ainley, Jeffrey was paid $237K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoAINLEY, JEFFREY
WARWICK, RI 02886
WARWICK, RI 02886
33aNPI1376519637assigned 02/27/2006
33bProvider typeOptometrist
28Total paid$237K
24GClaims8,469
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#31 of 209
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 | 3,979 | $115K | |
| 2019 | 742 | $16K | |
| 2020 | 1,643 | $52K | |
| 2021 | 684 | $20K | |
| 2022 | 435 | $10K | |
| 2023 | 671 | $16K | |
| 2024incomplete | 315 | $7K |
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 | 30% | 1,990 | 1,899 | $71K |
| V2020 | Frames, purchases | 24% | 2,069 | 1,992 | $56K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 1,148 | 853 | $34K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 1,577 | 1,524 | $26K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 5.1% | 519 | 505 | $12K |
| 92015 | Determination of refractive state | 4.7% | 451 | 425 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.7% | 259 | 246 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.9% | 192 | 188 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 78 | 65 | $3K |
| 92341 | <1% | 75 | 69 | $1K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 79 | 76 | $1K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 15 | 13 | $708.02 |
1 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 17 | $448.83 |
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.