Jones, Carla
Jones, Carla was paid $264K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoJONES, CARLA
CLARKSVILLE, TN 37042
CLARKSVILLE, TN 37042
33aNPI1770626947assigned 02/15/2007
33bProvider typeOptometrist
28Total paid$264K
24GClaims10,142
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Tennessee
Rank by total paid#105 of 698
Median peer was paid$19K
This provider vs. median14×
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 | 1,393 | $38K | |
| 2019 | 1,599 | $46K | |
| 2020 | 1,333 | $36K | |
| 2021 | 1,917 | $49K | |
| 2022 | 1,543 | $37K | |
| 2023 | 1,337 | $31K | |
| 2024incomplete | 1,020 | $29K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 38% | 2,615 | 2,571 | $99K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 2,154 | 2,093 | $98K |
| 92015 | Determination of refractive state | 21% | 5,071 | 4,959 | $55K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.6% | 190 | 190 | $7K |
| 92002 | 1.7% | 112 | 112 | $4K |
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.