Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Arce-Montijo, Yolanda

Arce-Montijo, Yolanda was paid $722K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.

33Billing provider infoARCE-MONTIJO, YOLANDA
DECATUR, IL 62521
33aNPI1063491553assigned 01/12/2006
33bProvider typeOptometrist
28Total paid$722K
24GClaims25,943
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#90 of 1,069
Median peer was paid$56K
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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2018535$20K
20192,322$77K
20204,495$140K
20216,407$179K
20226,418$164K
20233,929$97K
2024incomplete1,837$44K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 3,617 3,253 $154K
92015 Determination of refractive state 14% 5,712 5,077 $101K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 2,059 1,769 $91K
V2025 Deluxe frame 12% 1,580 1,479 $87K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 12% 3,213 2,801 $85K
92340 Fitting of spectacles, except for aphakia; monofocal 10% 2,588 2,302 $75K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 5.1% 819 609 $37K
V2020 Frames, purchases 4.4% 2,687 2,293 $31K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 3.1% 694 630 $23K
V2784 Lens, polycarbonate or equal, any index, per lens 2.6% 2,292 2,051 $19K
92341 1.5% 386 353 $11K
S0621 Routine ophthalmological examination including refraction; established patient <1% 52 52 $2K
5 more codes
92250 <1% 55 $2K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 89 $1K
92133 <1% 40 $1K
99213 Doctor's office visit, returning patient (routine) <1% 31 $961.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 29 $673.10

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.