Physician
Kresca, James
Kresca, James was paid $1.06M by Medicaid between Jan 2018 and Sep 2022, across 12 billing codes. Its largest line is 92250, — 29% of everything it billed.
33Billing provider infoKRESCA, JAMES
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
33aNPI1073694303assigned 10/17/2006
33bProvider typeOphthalmology Physician
28Total paid$1.06M
24GClaims32,591
24DCodes billed12
24AFirst – last monthJan 2018 – Sep 2022
Compared with peers
Next to other Ophthalmology Physician providers in Illinois
Rank by total paid#23 of 431
Median peer was paid$34K
This provider vs. median31×
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 | 10,649 | $329K | |
| 2019 | 10,242 | $337K | |
| 2020 | 3,823 | $126K | |
| 2021 | 5,865 | $198K | |
| 2022 | 2,012 | $72K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 29% | 7,405 | 6,831 | $303K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 4,505 | 4,196 | $182K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 3,700 | 3,451 | $172K |
| 92015 | Determination of refractive state | 13% | 7,481 | 6,988 | $133K |
| 92225 | 12% | 3,932 | 2,227 | $132K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.2% | 3,168 | 3,044 | $88K |
| 92134 | 3.0% | 1,611 | 1,408 | $32K | |
| 92226 | <1% | 289 | 171 | $9K | |
| V2020 | Frames, purchases | <1% | 202 | 190 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 134 | 108 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 127 | 126 | $3K |
| 92133 | <1% | 37 | 24 | $811.63 |
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.