Birch, Dawn
Birch, Dawn was paid $739K by Medicaid between Jan 2018 and Mar 2021, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 24% of everything it billed.
33Billing provider infoBIRCH, DAWN
CHICAGO, IL 60629
CHICAGO, IL 60629
33aNPI1356404248assigned 12/19/2006
33bProvider typeOptometrist
28Total paid$739K
24GClaims26,481
24DCodes billed13
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#87 of 1,069
Median peer was paid$56K
This provider vs. median13×
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 | 6,125 | $184K | |
| 2019 | 8,613 | $224K | |
| 2020 | 10,294 | $293K | |
| 2021 | 1,449 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 3,847 | 3,213 | $175K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 4,538 | 3,870 | $126K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 3,833 | 2,526 | $101K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 2,228 | 1,878 | $98K |
| V2025 | Deluxe frame | 11% | 3,219 | 2,502 | $82K |
| 92015 | Determination of refractive state | 11% | 4,838 | 4,219 | $79K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.5% | 910 | 676 | $41K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.4% | 967 | 549 | $25K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 1,163 | 1,037 | $9K |
| V2020 | Frames, purchases | <1% | 666 | 614 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 225 | 214 | $7.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 0% | 18 | 15 | $0.00 |
1 more codes
| V2760 | Scratch resistant coating, per lens | 0% | 29 | $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.