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

Mayes, James was paid $301K by Medicaid between Apr 2019 and Jun 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.

33Billing provider infoMAYES, JAMES
HOBBS, NM 88240
33aNPI1760717425assigned 10/13/2009
33bProvider typeOptometrist
28Total paid$301K
24GClaims5,037
24DCodes billed11
24AFirst – last monthApr 2019 – Jun 2024
Compared with peers

Next to other Optometrist providers in New Mexico

Rank by total paid#40 of 122
Median peer was paid$112K
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$20K$40K$60K2018201920202021202220232024
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
201947$2K
20232,490$71K
2024incomplete2,500$228K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 33% 691 680 $100K
V2020 Frames, purchases 20% 975 965 $61K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 442 437 $51K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 12% 616 609 $37K
92340 Fitting of spectacles, except for aphakia; monofocal 8.5% 852 842 $25K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.1% 209 207 $12K
92015 Determination of refractive state 2.3% 1,161 1,149 $7K
92341 <1% 51 51 $2K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity <1% 13 13 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 12 12 $2K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity <1% 15 13 $2K

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.