Physician
Fenton, Gregory
Fenton, Gregory was paid $292K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 58% of everything it billed.
33Billing provider infoFENTON, GREGORY
WHEATON, IL 60187
WHEATON, IL 60187
33aNPI1114136959assigned 05/21/2007
33bProvider typeOphthalmology Physician
28Total paid$292K
24GClaims3,940
24DCodes billed7
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Illinois
Rank by total paid#75 of 431
Median peer was paid$34K
This provider vs. median8.6×
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 | 191 | $2K | |
| 2019 | 194 | $4K | |
| 2020 | 496 | $27K | |
| 2021 | 519 | $33K | |
| 2022 | 881 | $67K | |
| 2023 | 1,078 | $134K | |
| 2024incomplete | 581 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 67028 | Intravitreal injection of a pharmacologic agent | 58% | 1,016 | 793 | $171K |
| J0178 | Injection, aflibercept, 1 mg | 21% | 54 | 37 | $60K |
| 92134 | 10% | 2,002 | 1,801 | $29K | |
| J9035 | Injection, bevacizumab, 10 mg | 7.0% | 396 | 232 | $21K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.3% | 358 | 338 | $10K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 101 | 83 | $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 | <1% | 13 | 13 | $270.34 |
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.