Clarke, Scott
Clarke, Scott was paid $292K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 33% of everything it billed.
33Billing provider infoCLARKE, SCOTT
CHARLESTON, IL 61920
CHARLESTON, IL 61920
33aNPI1336209055assigned 12/11/2006
33bProvider typeOptometrist
28Total paid$292K
24GClaims10,301
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#225 of 1,069
Median peer was paid$56K
This provider vs. median5.2×
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 | 577 | $17K | |
| 2019 | 2,130 | $60K | |
| 2020 | 1,746 | $50K | |
| 2021 | 1,652 | $46K | |
| 2022 | 1,445 | $42K | |
| 2023 | 1,443 | $39K | |
| 2024incomplete | 1,308 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 33% | 3,250 | 2,980 | $95K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 31% | 2,189 | 2,018 | $90K |
| 92015 | Determination of refractive state | 19% | 3,132 | 2,869 | $56K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 979 | 909 | $43K |
| 92250 | 1.6% | 114 | 108 | $5K | |
| V2020 | Frames, purchases | <1% | 91 | 78 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 24 | 12 | $192.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 205 | 201 | $0.01 |
| 3072F | 0% | 317 | 309 | $0.00 |
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.