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

Jones, Darlene was paid $2K by Medicaid between Jul 2022 and Jul 2022, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 87% of everything it billed.

33Billing provider infoJONES, DARLENE
FRISCO, TX 75035
33aNPI1528088291assigned 07/19/2006
28Total paid$2K
24GClaims34
24DCodes billed2
24AFirst – last monthJul 2022 – Jul 2022
Compared with peers

Next to other Corneal and Contact Management Optometrist providers in Texas

Rank by total paid#50 of 52
Median peer was paid$30K
This provider vs. median0.1×

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$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
202234$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 87% 16 15 $1K
92015 Determination of refractive state 13% 18 17 $221.44

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.