Cone, Paul
Cone, Paul was paid $283K by Medicaid between Feb 2019 and Mar 2023, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 71% of everything it billed.
33Billing provider infoCONE, PAUL
JACKSONVILLE, FL 32211
JACKSONVILLE, FL 32211
33aNPI1932117363assigned 08/03/2006
33bProvider typeOptometrist
28Total paid$283K
24GClaims14,855
24DCodes billed16
24AFirst – last monthFeb 2019 – Mar 2023
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#67 of 941
Median peer was paid$21K
This provider vs. median13×
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 | |
|---|---|---|---|
| 2019 | 4,247 | $29K | |
| 2020 | 3,721 | $44K | |
| 2021 | 2,304 | $67K | |
| 2022 | 3,897 | $112K | |
| 2023 | 686 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 71% | 3,124 | 3,056 | $202K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 1,437 | 1,093 | $42K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.5% | 208 | 202 | $15K |
| V2020 | Frames, purchases | 4.2% | 2,262 | 2,049 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.5% | 1,796 | 1,623 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 84 | 69 | $3K |
| 92015 | Determination of refractive state | <1% | 2,819 | 2,769 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 287 | 163 | $1K |
| 92341 | <1% | 137 | 135 | $388.00 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 192 | 190 | $145.72 |
| V2025 | Deluxe frame | <1% | 38 | 34 | $41.00 |
| 92342 | 0% | 549 | 548 | $0.00 |
4 more codes
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.