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

Jones, Ethan was paid $2K by Medicaid between Dec 2023 and Aug 2024, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 69% of everything it billed.

33Billing provider infoJONES, ETHAN
BURLINGTON, VT 05401
33aNPI1700557519assigned 09/22/2021
33bProvider typeOptometrist
28Total paid$2K
24GClaims123
24DCodes billed2
24AFirst – last monthDec 2023 – Aug 2024
Compared with peers

Next to other Optometrist providers in Vermont

Rank by total paid#47 of 55
Median peer was paid$39K
This provider vs. median0.0×

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$250$500$7502018201920202021202220232024
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
202317$578.88
2024incomplete106$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 69% 54 54 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 31% 69 69 $530.77

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.