Carter, Colby
Carter, Colby was paid $756K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 28% of everything it billed.
33Billing provider infoCARTER, COLBY
NORTH RIVERSIDE, IL 60546
NORTH RIVERSIDE, IL 60546
33aNPI1235210964assigned 10/18/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$756K
24GClaims25,018
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Illinois
Rank by total paid#1 of 18
Median peer was paid$102K
This provider vs. median7.4×
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 | 2,317 | $80K | |
| 2019 | 3,490 | $107K | |
| 2020 | 5,522 | $166K | |
| 2021 | 3,418 | $103K | |
| 2022 | 3,185 | $93K | |
| 2023 | 3,885 | $111K | |
| 2024incomplete | 3,201 | $95K |
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 | 28% | 4,721 | 4,170 | $212K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 4,705 | 4,244 | $138K |
| 92015 | Determination of refractive state | 16% | 6,962 | 6,340 | $118K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 2,665 | 2,408 | $117K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.6% | 878 | 607 | $50K |
| V2025 | Deluxe frame | 6.1% | 1,655 | 1,365 | $46K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 494 | 386 | $22K |
| V2020 | Frames, purchases | 2.9% | 540 | 540 | $22K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.6% | 1,278 | 1,209 | $12K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.2% | 715 | 649 | $9K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 115 | 114 | $5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 78 | 77 | $3K |
2 more codes
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.