Kovacs, Melanie
Kovacs, Melanie was paid $172K by Medicaid between Sep 2020 and Mar 2024, 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 infoKOVACS, MELANIE
EVANSTON, IL 60201
EVANSTON, IL 60201
33aNPI1356906317assigned 05/06/2019
33bProvider typeOptometrist
28Total paid$172K
24GClaims5,703
24DCodes billed6
24AFirst – last monthSep 2020 – Mar 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#312 of 1,069
Median peer was paid$56K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2020 | 151 | $5K | |
| 2021 | 1,016 | $32K | |
| 2022 | 1,729 | $52K | |
| 2023 | 2,293 | $68K | |
| 2024incomplete | 514 | $16K |
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 | 37% | 1,409 | 1,402 | $64K |
| 92015 | Determination of refractive state | 21% | 2,126 | 2,112 | $36K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 1,166 | 1,161 | $34K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 673 | 669 | $29K |
| V2020 | Frames, purchases | 4.5% | 232 | 230 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 97 | 96 | $1K |
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.