Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Ebbesen, Jay

Ebbesen, Jay was paid $313K by Medicaid between Jan 2018 and Nov 2023, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.

33Billing provider infoEBBESEN, JAY
DEKALB, IL 60115
33aNPI1801940580assigned 01/22/2007
33bProvider typeOptometrist
28Total paid$313K
24GClaims12,091
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#215 of 1,069
Median peer was paid$56K
This provider vs. median5.6×

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$5.0K$10K$15K2018201920202021202220232024
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
20181,291$36K
20191,894$49K
20202,787$72K
20212,754$74K
20221,952$46K
20231,413$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 35% 2,582 2,163 $109K
92340 Fitting of spectacles, except for aphakia; monofocal 24% 2,577 2,214 $75K
92015 Determination of refractive state 22% 3,879 3,341 $68K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 937 812 $43K
V2020 Frames, purchases 2.4% 646 587 $7K
V2784 Lens, polycarbonate or equal, any index, per lens 1.5% 709 590 $5K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.4% 676 567 $4K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 72 50 $182.98
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% 13 13 $56.70

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.