Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kruger, David

Kruger, David was paid $253K by Medicaid between Jan 2018 and Aug 2022, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.

33Billing provider infoKRUGER, DAVID
RANTOUL, IL 61866
33aNPI1063524775assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$253K
24GClaims8,543
24DCodes billed9
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#238 of 1,069
Median peer was paid$56K
This provider vs. median4.5×

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$5.0K$10K2018201920202021202220232024
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
20181,771$59K
20192,416$67K
2020986$28K
20211,996$57K
20221,374$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 42% 2,365 2,265 $107K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 34% 1,859 1,768 $86K
92015 Determination of refractive state 17% 2,413 2,290 $44K
V2020 Frames, purchases 2.3% 397 362 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 1.9% 165 162 $5K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.6% 73 60 $4K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 93 80 $908.44
92310 <1% 12 12 $492.00
3072F 0% 1,166 1,117 $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.