Ramirez, Alejandro
Ramirez, Alejandro was paid $1.24M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.
33Billing provider infoRAMIREZ, ALEJANDRO
BLOOMINGDALE, IL 60108
BLOOMINGDALE, IL 60108
33aNPI1386817682assigned 04/08/2008
33bProvider typeOptometrist
28Total paid$1.24M
24GClaims40,251
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#35 of 1,069
Median peer was paid$56K
This provider vs. median22×
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 | 7,623 | $263K | |
| 2019 | 6,445 | $204K | |
| 2020 | 6,678 | $214K | |
| 2021 | 3,919 | $123K | |
| 2022 | 5,365 | $155K | |
| 2023 | 5,507 | $146K | |
| 2024incomplete | 4,714 | $131K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 7,102 | 6,331 | $310K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 7,207 | 6,594 | $199K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 3,685 | 3,277 | $166K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 4,241 | 3,512 | $158K |
| 92015 | Determination of refractive state | 11% | 8,463 | 7,851 | $131K |
| V2020 | Frames, purchases | 7.1% | 2,952 | 2,754 | $88K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.9% | 1,350 | 1,136 | $61K |
| V2025 | Deluxe frame | 4.5% | 2,728 | 2,148 | $55K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.1% | 427 | 309 | $38K |
| 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% | 313 | 266 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 906 | 876 | $10K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 449 | 437 | $6K |
6 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 142 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 26 | $1K |
| 92250 | <1% | 12 | $532.80 | |
| 92341 | <1% | 12 | $337.68 | |
| V2750 | Anti-reflective coating, per lens | 0% | 213 | $0.00 |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 23 | $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.