Jackson, Autumn
Jackson, Autumn was paid $43K by Medicaid between Jan 2018 and Aug 2022, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 48% of everything it billed.
33Billing provider infoJACKSON, AUTUMN
MIDDLETOWN, RI 02842
MIDDLETOWN, RI 02842
33aNPI1477739100assigned 01/11/2008
33bProvider typeOptometrist
28Total paid$43K
24GClaims1,861
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#76 of 209
Median peer was paid$24K
This provider vs. median1.8×
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 | 397 | $8K | |
| 2019 | 395 | $9K | |
| 2020 | 222 | $5K | |
| 2021 | 430 | $11K | |
| 2022 | 417 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 48% | 753 | 727 | $20K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 408 | 394 | $13K |
| V2020 | Frames, purchases | 12% | 395 | 379 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.3% | 278 | 261 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.6% | 27 | 27 | $691.50 |
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.