Dravitzki, Jordan
Dravitzki, Jordan was paid $276.19 by Medicaid between May 2022 and Sep 2023, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoDRAVITZKI, JORDAN
ELLENSBURG, WA 98926
ELLENSBURG, WA 98926
33aNPI1922624147assigned 06/23/2020
33bProvider typeOptometrist
28Total paid$276.19
24GClaims27
24DCodes billed1
24AFirst – last monthMay 2022 – Sep 2023
Compared with peers
Next to other Optometrist providers in Washington
Rank by total paid#514 of 565
Median peer was paid$23K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 15 | $159.12 | |
| 2023 | 12 | $117.07 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 27 | 27 | $276.19 |
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.