Gordon, Jaclyn

Gordon, Jaclyn was paid $129.61 by Medicaid between Dec 2024 and Dec 2024, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.

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
2024incomplete	14	$129.61

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	100%	14	14	$129.61

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.