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

Jones, Wayne was paid $5K by Medicaid between Aug 2022 and Oct 2024, across 2 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 77% of everything it billed.

33Billing provider infoJONES, WAYNE
TYLER, TX 75701
33aNPI1528030095assigned 02/07/2006
33bProvider typeOptometrist
28Total paid$5K
24GClaims121
24DCodes billed2
24AFirst – last monthAug 2022 – Oct 2024
Compared with peers

Next to other Optometrist providers in Texas

Rank by total paid#1,019 of 1,408
Median peer was paid$30K
This provider vs. median0.2×

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$1.0K$2.0K2018201920202021202220232024
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
202213$446.52
202329$1K
2024incomplete79$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 77% 96 92 $4K
S0620 Routine ophthalmological examination including refraction; new patient 23% 25 25 $1K

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.