Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Helton, Ashley

Helton, Ashley was paid $7K by Medicaid between Jan 2018 and Dec 2019, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 36% of everything it billed.

33Billing provider infoHELTON, ASHLEY
COLDWATER, MS 38618
33aNPI1528492170assigned 08/29/2013
33bProvider typeOptometrist
28Total paid$7K
24GClaims220
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Optometrist providers in Mississippi

Rank by total paid#376 of 437
Median peer was paid$91K
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$2.0K$4.0K2018201920202021202220232024
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
2018181$6K
201939$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 36% 98 94 $2K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 23% 15 15 $2K
V2020 Frames, purchases 22% 40 40 $1K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13% 30 30 $862.84
92340 Fitting of spectacles, except for aphakia; monofocal 6.4% 37 37 $430.68

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.