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

Worley, James was paid $19K by Medicaid between Jan 2018 and Nov 2018, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 45% of everything it billed.

33Billing provider infoWORLEY, JAMES
WAPATO, WA 98951
33aNPI1881719516assigned 03/20/2007
33bProvider typeOptometrist
28Total paid$19K
24GClaims676
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2018
Compared with peers

Next to other Optometrist providers in Washington

Rank by total paid#298 of 565
Median peer was paid$23K
This provider vs. median0.8×

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$4.0K$6.0K2018201920202021202220232024
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
2018676$19K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 45% 122 121 $8K
92340 Fitting of spectacles, except for aphakia; monofocal 28% 247 241 $5K
92015 Determination of refractive state 15% 281 271 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 26 26 $2K

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.