Nekola, Mark

Nekola, Mark was paid $14K by Medicaid between Jan 2018 and Mar 2022, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 66% of everything it billed.

33Billing provider infoNEKOLA, MARK
SWANSEA, IL 62226

33aNPI1073509766assigned 09/27/2005

33bProvider typeOphthalmology Physician

28Total paid$14K

24GClaims697

24DCodes billed4

24AFirst – last monthJan 2018 – Mar 2022

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#268 of 431

Median peer was paid$34K

This provider vs. median0.4×

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	209	$5K
2019	225	$4K
2020	95	$2K
2021	127	$2K
2022	41	$946.08

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92015	Determination of refractive state	66%	525	506	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	17%	90	87	$2K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	9.7%	27	25	$1K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	7.9%	55	55	$1K

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.