Menconi, Michael
Menconi, Michael was paid $118K by Medicaid between Jun 2020 and Mar 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 23% of everything it billed.
33Billing provider infoMENCONI, MICHAEL
SANDWICH, IL 60548
SANDWICH, IL 60548
33aNPI1295963296assigned 06/29/2009
33bProvider typeOptometrist
28Total paid$118K
24GClaims4,212
24DCodes billed8
24AFirst – last monthJun 2020 – Mar 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#378 of 1,069
Median peer was paid$56K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2020 | 235 | $10K | |
| 2021 | 621 | $26K | |
| 2022 | 1,324 | $34K | |
| 2023 | 1,510 | $35K | |
| 2024incomplete | 522 | $12K |
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 | 23% | 678 | 641 | $28K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 19% | 684 | 658 | $22K |
| V2020 | Frames, purchases | 18% | 706 | 675 | $21K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 355 | 346 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.4% | 243 | 223 | $10K |
| 92015 | Determination of refractive state | 6.8% | 790 | 787 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.7% | 389 | 370 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.0% | 367 | 347 | $5K |
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.