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

Markley, James was paid $65K by Medicaid between Feb 2020 and Nov 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.

33Billing provider infoMARKLEY, JAMES
BELPRE, OH 45714
33aNPI1811950066assigned 04/10/2006
33bProvider typeOptometrist
28Total paid$65K
24GClaims3,587
24DCodes billed6
24AFirst – last monthFeb 2020 – Nov 2024
Compared with peers

Next to other Optometrist providers in Ohio

Rank by total paid#444 of 1,098
Median peer was paid$41K
This provider vs. median1.6×

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$2.0K$4.0K2018201920202021202220232024
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
2020823$16K
2021889$18K
2022754$15K
2023803$12K
2024incomplete318$5K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 46% 785 772 $30K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 19% 313 307 $12K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 17% 474 462 $11K
V2020 Frames, purchases 17% 632 613 $11K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 44 44 $559.00
92015 Determination of refractive state 0% 1,339 1,318 $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.