Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Edick, James

Edick, James was paid $110K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoEDICK, JAMES
MOUNT VERNON, OH 43050
33aNPI1679629521assigned 01/25/2007
33bProvider typeOptometrist
28Total paid$110K
24GClaims4,399
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#305 of 1,098
Median peer was paid$41K
This provider vs. median2.7×

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
20181,650$44K
20191,537$42K
2020579$11K
2021176$3K
2022241$5K
2023164$3K
2024incomplete52$718.12
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 37% 1,067 1,061 $41K
92340 Fitting of spectacles, except for aphakia; monofocal 21% 1,177 1,162 $24K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 20% 477 471 $22K
92015 Determination of refractive state 18% 1,347 1,338 $20K
92341 3.6% 159 157 $4K
2023F 0% 172 170 $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.