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

Jones, John was paid $169K by Medicaid between Jan 2018 and Jan 2022, across 16 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 33% of everything it billed.

33Billing provider infoJONES, JOHN
OREGON, OH 43616
33aNPI1477968196assigned 06/23/2014
33bProvider typeOptometrist
28Total paid$169K
24GClaims13,717
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#209 of 1,098
Median peer was paid$41K
This provider vs. median4.1×

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$5.0K$10K2018201920202021202220232024
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
20184,545$62K
20195,021$67K
20202,977$31K
20211,116$9K
202258$391.85
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92340 Fitting of spectacles, except for aphakia; monofocal 33% 2,645 2,592 $56K
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 22% 562 550 $37K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18% 692 691 $31K
92015 Determination of refractive state 13% 1,085 1,084 $23K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 8.3% 285 285 $14K
92341 4.5% 285 271 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 12 12 $523.32
92133 <1% 14 14 $223.44
V2020 Frames, purchases 0% 2,860 2,800 $0.00
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 134 130 $0.00
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens 0% 27 26 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 1,654 1,624 $0.00
4 more codes
V2784 Lens, polycarbonate or equal, any index, per lens 0% 2,952 $0.00
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 0% 458 $0.00
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens 0% 39 $0.00
V2781 Progressive lens, per lens 0% 13 $0.00

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.