Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Frankel, Hal

Frankel, Hal was paid $33K by Medicaid between Dec 2020 and Apr 2023, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.

33Billing provider infoFRANKEL, HAL
BOLINGBROOK, IL 60490
33aNPI1336163120assigned 07/26/2006
33bProvider typeOptometrist
28Total paid$33K
24GClaims1,207
24DCodes billed6
24AFirst – last monthDec 2020 – Apr 2023
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#628 of 1,069
Median peer was paid$56K
This provider vs. median0.6×

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$2.0K$4.0K2018201920202021202220232024
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
202014$251.30
2021224$7K
2022608$17K
2023361$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37% 279 274 $12K
92015 Determination of refractive state 25% 538 529 $8K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 17% 128 127 $5K
V2020 Frames, purchases 9.8% 95 93 $3K
92340 Fitting of spectacles, except for aphakia; monofocal 8.9% 99 97 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 2.5% 68 66 $808.48

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.