Raether, Kelly
Raether, Kelly was paid $49K by Medicaid between Mar 2018 and Nov 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 61% of everything it billed.
33Billing provider infoRAETHER, KELLY
GRAYSLAKE, IL 60030
GRAYSLAKE, IL 60030
33aNPI1356413223assigned 11/15/2006
33bProvider typeOptometrist
28Total paid$49K
24GClaims1,553
24DCodes billed4
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#554 of 1,069
Median peer was paid$56K
This provider vs. median0.9×
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 | 15 | $272.79 | |
| 2019 | 287 | $8K | |
| 2020 | 181 | $4K | |
| 2021 | 251 | $8K | |
| 2022 | 340 | $11K | |
| 2023 | 229 | $8K | |
| 2024incomplete | 250 | $10K |
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 | 61% | 669 | 633 | $30K |
| 92015 | Determination of refractive state | 28% | 754 | 703 | $14K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10% | 118 | 109 | $5K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.3% | 12 | 12 | $641.60 |
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.