Goska, Thomas
Goska, Thomas was paid $221K by Medicaid between Jun 2019 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
33Billing provider infoGOSKA, THOMAS
CHICAGO, IL 60618
CHICAGO, IL 60618
33aNPI1003945478assigned 03/03/2007
33bProvider typeOptometrist
28Total paid$221K
24GClaims8,954
24DCodes billed12
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#270 of 1,069
Median peer was paid$56K
This provider vs. median3.9×
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 | 199 | $6K | |
| 2020 | 995 | $30K | |
| 2021 | 1,533 | $41K | |
| 2022 | 2,019 | $49K | |
| 2023 | 2,229 | $50K | |
| 2024incomplete | 1,979 | $44K |
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 | 22% | 1,134 | 1,103 | $48K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 1,076 | 1,053 | $48K |
| 92015 | Determination of refractive state | 18% | 2,423 | 2,349 | $39K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 1,275 | 1,230 | $36K |
| V2020 | Frames, purchases | 10% | 1,323 | 1,270 | $23K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.1% | 989 | 918 | $18K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.6% | 604 | 588 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 47 | 25 | $2K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 15 | 14 | $666.75 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 43 | 43 | $497.64 |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 12 | 12 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 13 | 13 | $0.00 |
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.