Sanders, Laura

Sanders, Laura was paid $98K by Medicaid between Apr 2019 and Jan 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 50% of everything it billed.

33Billing provider infoSANDERS, LAURA
CHICAGO RIDGE, IL 60415

33aNPI1366591711assigned 01/08/2007

33bProvider typeOphthalmology Physician

28Total paid$98K

24GClaims2,849

24DCodes billed9

24AFirst – last monthApr 2019 – Jan 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#153 of 431

Median peer was paid$34K

This provider vs. median2.9×

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
2019	173	$6K
2020	512	$17K
2021	652	$22K
2022	801	$29K
2023	671	$23K
2024incomplete	40	$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	50%	971	833	$49K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	20%	464	410	$20K
92015	Determination of refractive state	11%	671	543	$11K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	8.8%	327	308	$9K
92133		4.5%	245	213	$4K
92083		3.0%	95	90	$3K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	50	24	$1K
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%	12	12	$537.98
92020		<1%	14	13	$216.91

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.