Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hanlon, Edward

Hanlon, Edward was paid $12K by Medicaid between Apr 2018 and Oct 2024, across 7 billing codes. Its largest line is 92015, Determination of refractive state — 30% of everything it billed.

33Billing provider infoHANLON, EDWARD
MORRISON, IL 61270
33aNPI1255538153assigned 07/02/2007
33bProvider typeOptometrist
28Total paid$12K
24GClaims469
24DCodes billed7
24AFirst – last monthApr 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#777 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$1.0K$2.0K2018201920202021202220232024
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
201866$2K
201950$1K
202077$2K
202124$559.20
202235$1K
202396$2K
2024incomplete121$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 30% 199 179 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15% 63 56 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13% 71 62 $2K
92002 13% 57 57 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 10.0% 25 25 $1K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9.5% 29 28 $1K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9.0% 25 25 $1K

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.