Dikopf, Mark

Dikopf, Mark was paid $180K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 19% of everything it billed.

33Billing provider infoDIKOPF, MARK
ARLINGTON HEIGHTS, IL 60005

33aNPI1255673364assigned 03/27/2013

33bProvider typeOphthalmology Physician

28Total paid$180K

24GClaims7,252

24DCodes billed19

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#119 of 431

Median peer was paid$34K

This provider vs. median5.3×

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	67	$2K
2019	183	$3K
2020	862	$23K
2021	1,291	$35K
2022	1,829	$37K
2023	1,673	$40K
2024incomplete	1,347	$39K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	19%	996	957	$33K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	17%	1,402	1,175	$30K
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	14%	551	502	$25K
92083		9.3%	612	566	$17K
92134		9.2%	889	845	$16K
92015	Determination of refractive state	6.6%	684	600	$12K
92250		5.2%	313	303	$9K
92201		4.5%	815	778	$8K
99244	Office or other outpatient consultation, moderate to high complexity	3.9%	60	52	$7K
92133		3.8%	388	376	$7K
99245		3.8%	37	15	$7K
92020		2.1%	278	270	$4K

7 more codes

99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	52	$2K
92226		<1%	50	$730.93
99213	Doctor's office visit, returning patient (routine)	<1%	15	$672.88
99204	Doctor's office visit, new patient (more involved)	<1%	13	$459.83
76514		<1%	45	$201.19
92202		<1%	40	$194.84
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)	<1%	12	$37.08

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.