Jaclyn Johnson

NPI: 1700300373
Total Payments
$4,552
2024 Payments
$1,845
Companies
24
Transactions
123
Medicare Patients
9,404
Medicare Billing
$574,116

Payment Breakdown by Category

Food & Beverage$4,552 (100.0%)

Payments by Nature

Nature of Payment Amount Transactions Share
Food and Beverage $4,552 123 100.0%

Top Paying Companies

Company Total Records Latest Year
BIOTISSUE HOLDINGS INC. $858.60 10 $0 (2024)
Allergan, Inc. $570.81 34 $0 (2022)
Glaukos Corporation $416.14 3 $0 (2024)
ABBVIE INC. $415.00 10 $0 (2024)
Bausch & Lomb Americas Inc. $355.78 11 $0 (2024)
Alcon Vision LLC $289.06 5 $0 (2023)
Apellis Pharmaceuticals, Inc. $230.45 2 $0 (2024)
Sight Sciences, Inc. $190.17 4 $0 (2023)
Amgen Inc. $160.41 4 $0 (2024)
Novartis Pharmaceuticals Corporation $160.00 9 $0 (2023)

Payment History by Year

Year Amount Transactions Top Company
2024 $1,845 35 BIOTISSUE HOLDINGS INC. ($858.60)
2023 $810.42 17 Bausch & Lomb Americas Inc. ($239.59)
2022 $804.45 17 Alcon Vision LLC ($214.38)
2021 $663.09 28 Allergan, Inc. ($145.34)
2020 $264.20 15 Allergan, Inc. ($222.64)
2019 $164.17 11 Allergan Inc. ($100.06)

All Payment Transactions

123 individual payment records from CMS Open Payments — Page 1 of 5

Date Company Product Nature Form Amount Type
12/19/2024 Dompe US, Inc. OXERVATE (Drug) Food and Beverage In-kind items and services $32.48 General
Category: SOLUTION/ DROPS
12/18/2024 Bausch & Lomb Americas Inc. VYZULTA (Drug), MIEBO Food and Beverage In-kind items and services $16.25 General
Category: Ophthalmology
12/09/2024 BIOTISSUE HOLDINGS INC. Food and Beverage Cash or cash equivalent $163.76 General
12/09/2024 BIOTISSUE HOLDINGS INC. Food and Beverage Cash or cash equivalent $7.73 General
12/06/2024 SUN PHARMACEUTICAL INDUSTRIES INC. Cequa (Drug), Xelpros, BromSite Food and Beverage In-kind items and services $22.13 General
Category: Ophthalmology
11/25/2024 BIOTISSUE HOLDINGS INC. Food and Beverage In-kind items and services $7.73 General
11/20/2024 ABBVIE INC. LUMIGAN (Drug) Food and Beverage In-kind items and services $26.19 General
Category: EYE CARE
11/19/2024 BIOTISSUE HOLDINGS INC. Food and Beverage In-kind items and services $163.76 General
11/14/2024 Amgen Inc. TEPEZZA (Biological) Food and Beverage In-kind items and services $23.95 General
Category: Inflammation/Rare Disease
11/07/2024 Harrow Eye, LLC VEVYE (Drug) Food and Beverage In-kind items and services $24.66 General
Category: OPTOMETRY
10/24/2024 Tarsus Pharmaceuticals, Inc. XDEMVY (Drug) Food and Beverage In-kind items and services $27.79 General
Category: DEMODEX BLEPHARITIS
10/23/2024 Amgen Inc. TEPEZZA (Biological) Food and Beverage In-kind items and services $5.95 General
Category: Inflammation/Rare Disease
10/22/2024 Amgen Inc. TEPEZZA (Biological) Food and Beverage In-kind items and services $5.95 General
Category: Inflammation/Rare Disease
10/13/2024 BIOTISSUE HOLDINGS INC. Food and Beverage Cash or cash equivalent $83.96 General
09/23/2024 Bausch & Lomb Americas Inc. MIEBO (Drug), XIIDRA Food and Beverage In-kind items and services $23.53 General
Category: Ophthalmology
09/05/2024 Glaukos Corporation Food and Beverage Cash or cash equivalent $157.47 General
09/05/2024 Tarsus Pharmaceuticals, Inc. XDEMVY (Drug) Food and Beverage In-kind items and services $23.94 General
Category: DEMODEX BLEPHARITIS
08/22/2024 Apellis Pharmaceuticals, Inc. Food and Beverage In-kind items and services $106.65 General
08/13/2024 RxSight Inc RXSIGHT CONTACT LENS (Device), RXSIGHT INJECTOR CARTRIDGE, RXSIGHT INJECTOR HANDPIECE Food and Beverage In-kind items and services $109.31 General
Category: OPHTHALMOLOGY
08/08/2024 ABBVIE INC. LUMIGAN (Drug) Food and Beverage In-kind items and services $27.47 General
Category: EYE CARE
08/05/2024 BIOTISSUE HOLDINGS INC. Food and Beverage Cash or cash equivalent $164.14 General
07/08/2024 BIOTISSUE HOLDINGS INC. Food and Beverage Cash or cash equivalent $12.95 General
07/08/2024 BIOTISSUE HOLDINGS INC. Food and Beverage Cash or cash equivalent $6.29 General
06/06/2024 Amgen Inc. TEPEZZA (Biological) Food and Beverage In-kind items and services $124.56 General
Category: Inflammation/Rare Disease
06/04/2024 Bausch & Lomb Americas Inc. MIEBO (Drug), XIIDRA Food and Beverage In-kind items and services $17.51 General
Category: Ophthalmology

Medicare Billing by Year

Year Procedures Beneficiaries Services Submitted Medicare Paid
2023 12 2,527 2,672 $554,215 $149,060
2022 11 2,383 2,557 $545,670 $142,418
2021 12 2,426 2,641 $554,675 $151,016
2020 9 2,068 2,258 $313,425 $131,621
Total Patients
9,404
Total Services
10,128
Medicare Billing
$574,116
Procedure Codes
44

All Medicare Procedures & Services

44 procedure records from CMS Medicare Utilization — Page 1 of 2

HCPCS Description Setting Year Patients Services Charges Medicare Paid Ratio
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2023 371 407 $109,890 $35,008 31.9%
92014 Established patient complete exam of visual system Office 2023 432 438 $137,970 $33,479 24.3%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2023 233 278 $52,820 $17,763 33.6%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2023 164 164 $67,240 $17,302 25.7%
92134 Imaging of retina Office 2023 548 574 $60,270 $15,743 26.1%
92004 New patient complete exam of visual system Office 2023 100 100 $37,500 $8,132 21.7%
92083 Exam of visual field with extended testing Office 2023 152 171 $27,220 $7,318 26.9%
92133 Imaging of optic nerve Office 2023 260 264 $25,080 $6,356 25.3%
92250 Photography of the retina Office 2023 210 218 $29,210 $5,686 19.5%
99212 Established patient office or other outpatient visit, 10-19 minutes Office 2023 31 31 $3,565 $1,291 36.2%
99203 New patient office or other outpatient visit, 30-44 minutes Office 2023 11 11 $2,970 $883.00 29.7%
76514 Ultrasound scan of cornea to determine thickness Office 2023 15 16 $480.00 $101.04 21.1%
92014 Established patient complete exam of visual system Office 2022 534 563 $177,345 $44,769 25.2%
99214 Established patient office or other outpatient visit, 30-39 minutes Office 2022 204 244 $65,880 $20,470 31.1%
92004 New patient complete exam of visual system Office 2022 177 177 $66,375 $16,038 24.2%
99204 New patient office or other outpatient visit, 45-59 minutes Office 2022 149 149 $61,090 $15,164 24.8%
92134 Imaging of retina Office 2022 517 544 $57,120 $14,738 25.8%
99213 Established patient office or other outpatient visit, 20-29 minutes Office 2022 150 184 $34,960 $11,480 32.8%
92083 Exam of visual field with extended testing Office 2022 172 202 $32,250 $8,458 26.2%
92250 Photography of the retina Office 2022 225 227 $26,105 $5,669 21.7%
92133 Imaging of optic nerve Office 2022 211 223 $21,185 $5,121 24.2%
92025 Ct scan of cornea Office 2022 12 12 $2,400 $312.82 13.0%
76514 Ultrasound scan of cornea to determine thickness Office 2022 32 32 $960.00 $198.38 20.7%
92014 Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits Office 2021 486 505 $159,075 $41,130 25.9%
99214 Established patient outpatient visit, total time 30-39 minutes Office 2021 243 281 $75,870 $25,925 34.2%

About Jaclyn Johnson

Jaclyn Johnson is a Optometrist healthcare provider based in Surprise, Arizona. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 07/26/2017. The National Provider Identifier (NPI) number assigned to this provider is 1700300373.

According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Jaclyn Johnson has received a total of $4,552 in payments from pharmaceutical and medical device companies, with $1,845 received in 2024. These payments were reported across 123 transactions from 24 companies. The most common payment nature is "Food and Beverage" ($4,552).

As a Medicare-enrolled provider, Johnson has provided services to 9,404 Medicare beneficiaries, totaling 10,128 services with total Medicare billing of $574,116. Data is available for 4 years (2020–2023), covering 44 distinct procedure/service records.

Practice Information

  • Specialty Optometrist
  • Location Surprise, AZ
  • Active Since 07/26/2017
  • Last Updated 11/14/2018
  • Taxonomy Code 152W00000X
  • Entity Type Individual
  • NPI Number 1700300373

Products in Payments

  • LUMIGAN (Drug) $290.33
  • RESTASIS (Drug) $220.31
  • VUITY (Drug) $217.68
  • MIEBO (Drug) $204.06
  • HYDRUS Microstent (Device) $194.34
  • TEPEZZA (Biological) $160.41
  • OMNI(R) SURGICAL SYSTEM (US) (Device) $156.43
  • TEPEZZA (Drug) $151.90
  • XIIDRA (Drug) $151.74
  • Cequa (Drug) $148.53
  • INFUSE (Device) $124.74
  • DURYSTA (Drug) $121.93
  • RESTASIS MULTIDOSE (Drug) $117.44
  • KXL System (Device) $116.67
  • RXSIGHT CONTACT LENS (Device) $109.31
  • XDEMVY (Drug) $76.74
  • rhopressa (Drug) $58.02
  • Precision 1 (Device) $57.45
  • TYRVAYA (Drug) $45.15
  • ACTHAR (Biological) $39.29

Data Sources

Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.

Optometrist Doctors in Surprise