Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$20K$40K$60K2018201920202021202220232024
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
2018191$2K
2019194$4K
2020496$27K
2021519$33K
2022881$67K
20231,078$134K
2024incomplete581$25K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.