Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Szwajca, Gabrielle

Szwajca, Gabrielle was paid $11K by Medicaid between Apr 2022 and Mar 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.

33Billing provider infoSZWAJCA, GABRIELLE
DES PLAINES, IL 60018
33aNPI1316396179assigned 06/11/2016
33bProvider typeOptometrist
28Total paid$11K
24GClaims352
24DCodes billed3
24AFirst – last monthApr 2022 – Mar 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#796 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
2022117$4K
2023145$5K
2024incomplete90$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 50% 124 123 $6K
92015 Determination of refractive state 27% 168 167 $3K
92250 23% 60 59 $3K

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.