Guithues, Molly
Guithues, Molly was paid $1.49M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.
33Billing provider infoGUITHUES, MOLLY
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
33aNPI1023480316assigned 10/26/2015
33bProvider typeOptometrist
28Total paid$1.49M
24GClaims54,856
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#25 of 1,069
Median peer was paid$56K
This provider vs. median27×
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 | 4,633 | $135K | |
| 2019 | 6,933 | $221K | |
| 2020 | 5,743 | $187K | |
| 2021 | 9,367 | $254K | |
| 2022 | 9,234 | $233K | |
| 2023 | 10,020 | $235K | |
| 2024incomplete | 8,926 | $225K |
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 | 21% | 7,582 | 6,929 | $318K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 5,695 | 5,187 | $255K |
| 92015 | Determination of refractive state | 15% | 13,230 | 12,098 | $228K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 5,293 | 4,766 | $151K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.7% | 5,724 | 5,132 | $145K |
| V2025 | Deluxe frame | 8.6% | 2,176 | 2,060 | $128K |
| V2020 | Frames, purchases | 4.6% | 5,910 | 5,286 | $68K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.7% | 1,451 | 1,301 | $56K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.3% | 1,081 | 995 | $49K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.2% | 4,884 | 4,322 | $48K |
| 92341 | 2.2% | 1,158 | 1,017 | $32K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 563 | 544 | $8K |
2 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.