Gilbertson, Jena
Gilbertson, Jena was paid $3K by Medicaid between Oct 2024 and Nov 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.
33Billing provider infoGILBERTSON, JENA
FRANKFORT, IL 60423
FRANKFORT, IL 60423
33aNPI1225773039assigned 05/05/2022
33bProvider typeOptometrist
28Total paid$3K
24GClaims75
24DCodes billed3
24AFirst – last monthOct 2024 – Nov 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#938 of 1,069
Median peer was paid$56K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2024incomplete | 75 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 58% | 24 | 24 | $1K |
| 92015 | Determination of refractive state | 28% | 39 | 39 | $700.05 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 12 | 12 | $351.36 |
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.