Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Nielsen, Daniel

Nielsen, Daniel was paid $84K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 64% of everything it billed.

33Billing provider infoNIELSEN, DANIEL
URBANA, IL 61801
33aNPI1205980778assigned 01/22/2007
33bProvider typeOptometrist
28Total paid$84K
24GClaims4,548
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#455 of 1,069
Median peer was paid$56K
This provider vs. median1.5×

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
20181,127$23K
2019689$12K
2020580$10K
2021739$13K
2022408$8K
2023492$9K
2024incomplete513$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 64% 3,327 2,898 $54K
92002 16% 501 416 $13K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 9.5% 346 287 $8K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4.6% 225 215 $4K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.9% 115 99 $3K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.8% 34 26 $2K

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.