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

Jones, Alan was paid $63K by Medicaid between Jan 2018 and Dec 2023, across 14 billing codes. Its largest line is 92015, Determination of refractive state — 29% of everything it billed.

33Billing provider infoJONES, ALAN
INDIAN LAND, SC 29707
33aNPI1659591626assigned 05/01/2007
33bProvider typeOptometrist
28Total paid$63K
24GClaims13,765
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2023
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#151 of 425
Median peer was paid$22K
This provider vs. median2.9×

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$4.0K$6.0K2018201920202021202220232024
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
20183,293$1K
20193,632$33K
20201,264$11K
20211,375$9K
20222,496$5K
20231,705$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 29% 2,917 2,217 $18K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 1,868 1,526 $12K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 19% 2,995 2,506 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16% 916 785 $10K
V2020 Frames, purchases 15% 378 370 $9K
68761 1.3% 3,218 1,394 $806.68
92341 <1% 92 90 $282.65
92226 <1% 499 458 $156.77
92340 Fitting of spectacles, except for aphakia; monofocal <1% 30 28 $150.00
92202 <1% 563 464 $53.06
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 39 39 $47.66
V2780 Oversize lens, per lens <1% 215 213 $34.00
2 more codes
92225 0% 18 $0.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 17 $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.