De Koster, Loretta
De Koster, Loretta was paid $512K by Medicaid between Jan 2018 and Apr 2023, across 16 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 18% of everything it billed.
33Billing provider infoDE KOSTER, LORETTA
ELMWOOD PARK, IL 60707
ELMWOOD PARK, IL 60707
33aNPI1316028723assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$512K
24GClaims17,632
24DCodes billed16
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#142 of 1,069
Median peer was paid$56K
This provider vs. median9.2×
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
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 | 2,149 | $68K | |
| 2019 | 3,184 | $92K | |
| 2020 | 3,560 | $109K | |
| 2021 | 3,803 | $112K | |
| 2022 | 4,031 | $111K | |
| 2023 | 905 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 3,247 | 2,784 | $94K |
| 92015 | Determination of refractive state | 14% | 4,145 | 3,579 | $72K |
| 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 | 12% | 1,393 | 1,119 | $60K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 1,283 | 1,153 | $58K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10% | 1,215 | 1,133 | $53K |
| 92285 | 9.1% | 1,669 | 1,326 | $47K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.7% | 712 | 564 | $45K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.7% | 1,407 | 1,183 | $34K |
| V2025 | Deluxe frame | 5.6% | 1,264 | 1,039 | $29K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 278 | 250 | $7K |
| 92341 | <1% | 145 | 130 | $4K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 85 | 85 | $4K |
4 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.