Jones, Erin
Jones, Erin was paid $10K by Medicaid between Feb 2023 and Oct 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 60% of everything it billed.
33Billing provider infoJONES, ERIN
DECATUR, AL 35601
DECATUR, AL 35601
33aNPI1851035893assigned 04/26/2022
33bProvider typeOptometrist
28Total paid$10K
24GClaims545
24DCodes billed6
24AFirst – last monthFeb 2023 – Oct 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#234 of 346
Median peer was paid$59K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2023 | 165 | $917.74 | |
| 2024incomplete | 380 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 60% | 203 | 194 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 42 | 42 | $2K |
| 92015 | Determination of refractive state | 9.4% | 165 | 152 | $963.36 |
| V2020 | Frames, purchases | 7.6% | 72 | 70 | $782.01 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.1% | 27 | 27 | $422.00 |
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 36 | 26 | $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.