Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clayton, Ethan

Clayton, Ethan was paid $45K by Medicaid between Jan 2018 and Jun 2018, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.

33Billing provider infoCLAYTON, ETHAN
MORENO VALLEY, CA 92553
33aNPI1629130257assigned 12/13/2006
33bProvider typeOptometrist
28Total paid$45K
24GClaims1,992
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2018
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#744 of 1,899
Median peer was paid$23K
This provider vs. median2.0×

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$10K$15K2018201920202021202220232024
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
20181,992$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 35% 402 385 $16K
V2020 Frames, purchases 18% 391 366 $8K
92340 Fitting of spectacles, except for aphakia; monofocal 18% 385 361 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16% 186 181 $7K
92015 Determination of refractive state 10% 596 574 $5K
92250 2.9% 32 32 $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.