Mcnelis, Margaret
Mcnelis, Margaret was paid $396K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
33Billing provider infoMCNELIS, MARGARET
ARLINGTON HEIGHTS, IL 60005
ARLINGTON HEIGHTS, IL 60005
33aNPI1326081480assigned 06/14/2006
33bProvider typeOptometrist
28Total paid$396K
24GClaims12,499
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#171 of 1,069
Median peer was paid$56K
This provider vs. median7.1×
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 | |
|---|---|---|---|
| 2018 | 2,750 | $85K | |
| 2019 | 2,692 | $80K | |
| 2020 | 1,960 | $65K | |
| 2021 | 1,556 | $52K | |
| 2022 | 1,143 | $37K | |
| 2023 | 1,015 | $33K | |
| 2024incomplete | 1,383 | $45K |
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 | 26% | 2,412 | 2,088 | $104K |
| 92250 | 22% | 2,199 | 1,942 | $89K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 2,676 | 2,321 | $79K |
| 92015 | Determination of refractive state | 13% | 2,822 | 2,511 | $51K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.8% | 606 | 529 | $27K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.9% | 459 | 308 | $24K |
| 92025 | 3.2% | 882 | 821 | $13K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 131 | 126 | $5K |
| V2025 | Deluxe frame | <1% | 251 | 151 | $3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 32 | 32 | $1K |
| 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% | 17 | 12 | $759.39 |
| V2020 | Frames, purchases | <1% | 12 | 12 | $129.60 |
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.