Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sofinski, Richard

Sofinski, Richard was paid $13K by Medicaid between Jun 2020 and Oct 2020, across 3 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 58% of everything it billed.

33Billing provider infoSOFINSKI, RICHARD
NILES, IL 60714
33aNPI1184847386assigned 04/10/2007
33bProvider typeOptometrist
28Total paid$13K
24GClaims303
24DCodes billed3
24AFirst – last monthJun 2020 – Oct 2020
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#772 of 1,069
Median peer was paid$56K
This provider vs. median0.2×

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$2.0K$4.0K2018201920202021202220232024
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
2020303$13K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 58% 162 144 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 37% 74 74 $5K
V2020 Frames, purchases 5.7% 67 65 $723.60

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.