Elias, James
Elias, James was paid $12K by Medicaid between Jan 2018 and Oct 2020, across 7 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 30% of everything it billed.
33Billing provider infoELIAS, JAMES
CULPEPER, VA 22701
CULPEPER, VA 22701
33aNPI1710919402assigned 07/06/2006
33bProvider typeOptometrist
28Total paid$12K
24GClaims642
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2020
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#286 of 491
Median peer was paid$23K
This provider vs. median0.5×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 354 | $9K | |
| 2019 | 139 | $2K | |
| 2020 | 149 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 30% | 93 | 92 | $4K |
| V2020 | Frames, purchases | 28% | 185 | 177 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 72 | 71 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 49 | 46 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.0% | 13 | 13 | $625.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.5% | 31 | 31 | $186.00 |
| 92015 | Determination of refractive state | 0% | 199 | 198 | $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.