Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Bouton, Brian

Bouton, Brian was paid $376K 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 — 25% of everything it billed.

33Billing provider infoBOUTON, BRIAN
JOLIET, IL 60435
33aNPI1154375392assigned 05/20/2006
33bProvider typeOptometrist
28Total paid$376K
24GClaims13,885
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#177 of 1,069
Median peer was paid$56K
This provider vs. median6.7×

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$5.0K$10K$15K2018201920202021202220232024
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
20182,770$66K
20193,197$83K
20202,389$64K
2021739$17K
20221,194$32K
20232,038$64K
2024incomplete1,558$50K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 2,688 2,643 $93K
92015 Determination of refractive state 22% 4,512 4,441 $82K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 14% 1,186 1,165 $53K
92340 Fitting of spectacles, except for aphakia; monofocal 14% 1,763 1,737 $52K
V2020 Frames, purchases 11% 1,104 1,099 $40K
92250 7.1% 781 764 $27K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.9% 790 780 $11K
V2025 Deluxe frame 2.6% 163 163 $10K
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% 131 125 $4K
92341 <1% 63 63 $2K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 678 668 $2K
92083 <1% 14 14 $438.70
1 more codes
92133 <1% 12 $305.00

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.