Thoele, Jonathon
Thoele, Jonathon was paid $340K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoTHOELE, JONATHON
MOUNT STERLING, IL 62353
MOUNT STERLING, IL 62353
33aNPI1114282548assigned 07/11/2012
33bProvider typeOptometrist
28Total paid$340K
24GClaims14,231
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#199 of 1,069
Median peer was paid$56K
This provider vs. median6.1×
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 | 1,213 | $33K | |
| 2019 | 1,299 | $30K | |
| 2020 | 1,687 | $36K | |
| 2021 | 1,931 | $46K | |
| 2022 | 2,165 | $52K | |
| 2023 | 3,630 | $86K | |
| 2024incomplete | 2,306 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 2,453 | 2,275 | $106K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 1,338 | 1,228 | $61K |
| 92015 | Determination of refractive state | 18% | 3,962 | 3,647 | $61K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 1,457 | 1,328 | $41K |
| V2020 | Frames, purchases | 8.8% | 2,177 | 1,965 | $30K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.1% | 1,232 | 1,096 | $17K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 686 | 631 | $8K |
| 92341 | 1.8% | 203 | 171 | $6K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 557 | 479 | $5K |
| 92250 | <1% | 65 | 58 | $2K | |
| 92226 | <1% | 60 | 28 | $469.59 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 26 | 24 | $441.38 |
1 more codes
| S9986 | Not medically necessary service (patient is aware that service not medically necessary) | 0% | 15 | $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.