Lithia E. Jimenez,od, LLC
Lithia E. Jimenez,od, LLC was paid $3K by Medicaid between Jan 2018 and Feb 2019, across 3 billing codes. Its largest line is V2020, Frames, purchases — 51% of everything it billed.
33Billing provider infoLITHIA E. JIMENEZ,OD, LLC
BLOOMINGTON, IN 47403
BLOOMINGTON, IN 47403
33aNPI1912380262assigned 07/06/2015
33bProvider typeOptometrist
28Total paid$3K
24GClaims213
24DCodes billed3
24AFirst – last monthJan 2018 – Feb 2019
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#552 of 743
Median peer was paid$22K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2018 | 201 | $2K | |
| 2019 | 12 | $458.19 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 51% | 90 | 78 | $1K |
| 92015 | Determination of refractive state | 30% | 98 | 86 | $850.86 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 19% | 25 | 25 | $535.50 |
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.
From NPPES
Who's on the registration
Authorized officialJIMENEZ, LITHIA (OWNER)