Kats, Irene
Kats, Irene was paid $1.11M by Medicaid between Jan 2018 and Mar 2022, across 18 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 23% of everything it billed.
33Billing provider infoKATS, IRENE
SKOKIE, IL 60077
SKOKIE, IL 60077
33aNPI1245367853assigned 02/28/2007
33bProvider typeOptometrist
28Total paid$1.11M
24GClaims35,748
24DCodes billed18
24AFirst – last monthJan 2018 – Mar 2022
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#43 of 1,069
Median peer was paid$56K
This provider vs. median20×
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 | 6,195 | $201K | |
| 2019 | 8,243 | $245K | |
| 2020 | 12,506 | $396K | |
| 2021 | 8,704 | $266K | |
| 2022 | 100 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 8,996 | 7,941 | $260K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 5,496 | 4,704 | $230K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 4,704 | 3,860 | $207K |
| 92015 | Determination of refractive state | 12% | 7,470 | 6,424 | $133K |
| V2025 | Deluxe frame | 7.9% | 2,846 | 2,495 | $88K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.2% | 1,708 | 1,505 | $69K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.4% | 471 | 404 | $38K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.4% | 596 | 473 | $27K |
| V2020 | Frames, purchases | 1.8% | 958 | 864 | $20K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 475 | 438 | $12K |
| V2599 | Contact lens, other type | <1% | 84 | 51 | $7K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 459 | 395 | $6K |
6 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.