Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Shelton, Jonathan

Shelton, Jonathan was paid $4K by Medicaid between Feb 2020 and Oct 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoSHELTON, JONATHAN
LEXINGTON, TN 38351
33aNPI1649417726assigned 01/12/2009
33bProvider typeOptometrist
28Total paid$4K
24GClaims449
24DCodes billed5
24AFirst – last monthFeb 2020 – Oct 2024
Compared with peers

Next to other Optometrist providers in Tennessee

Rank by total paid#488 of 698
Median peer was paid$19K
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$500$1.0K2018201920202021202220232024
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
2020149$947.00
202183$1K
202291$980.00
202397$1K
2024incomplete29$203.00
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 41% 44 44 $2K
92015 Determination of refractive state 37% 213 207 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 21% 63 62 $895.00
V2020 Frames, purchases 0% 65 64 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 64 63 $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.