Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Zhou, Jiayi

Zhou, Jiayi was paid $5K by Medicaid between Sep 2018 and Nov 2022, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 38% of everything it billed.

33Billing provider infoZHOU, JIAYI
BURLINGTON, MA 01803
33aNPI1396285748assigned 03/06/2017
33bProvider typeOptometrist
28Total paid$5K
24GClaims194
24DCodes billed4
24AFirst – last monthSep 2018 – Nov 2022
Compared with peers

Next to other Optometrist providers in Massachusetts

Rank by total paid#390 of 629
Median peer was paid$15K
This provider vs. median0.3×

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$500$1.0K$1.5K2018201920202021202220232024
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
201828$350.28
201984$2K
202013$1K
202117$230.93
202252$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 38% 154 153 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 14 13 $1K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 23% 13 13 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 13 13 $782.53

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.