Benjamin, Mark

Benjamin, Mark was paid $2K by Medicaid between Feb 2019 and Sep 2019, across 2 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 51% of everything it billed.

33Billing provider infoBENJAMIN, MARK
LA GRANGE HIGHLANDS, IL 60525

33aNPI1366433138assigned 11/02/2005

33bProvider typeOphthalmology Physician

28Total paid$2K

24GClaims61

24DCodes billed2

24AFirst – last monthFeb 2019 – Sep 2019

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#363 of 431

Median peer was paid$34K

This provider vs. median0.1×

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
2019	61	$2K

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	51%	35	29	$975.45
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	49%	26	16	$949.45

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.