Edwards, Robert
Edwards, Robert was paid $909K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.
33Billing provider infoEDWARDS, ROBERT
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
33aNPI1396753059assigned 08/04/2006
33bProvider typeOptometrist
28Total paid$909K
24GClaims32,576
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#67 of 1,069
Median peer was paid$56K
This provider vs. median16×
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 | 3,062 | $88K | |
| 2019 | 5,772 | $182K | |
| 2020 | 5,022 | $163K | |
| 2021 | 4,593 | $127K | |
| 2022 | 5,128 | $132K | |
| 2023 | 4,897 | $114K | |
| 2024incomplete | 4,102 | $103K |
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 | 21% | 4,437 | 3,954 | $190K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 3,764 | 3,388 | $169K |
| 92015 | Determination of refractive state | 16% | 8,286 | 7,423 | $145K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 3,400 | 3,172 | $97K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 10% | 3,482 | 3,261 | $93K |
| V2025 | Deluxe frame | 8.0% | 1,273 | 1,186 | $73K |
| V2020 | Frames, purchases | 4.4% | 3,276 | 3,047 | $40K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.3% | 870 | 831 | $39K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.8% | 2,659 | 2,422 | $25K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.8% | 581 | 513 | $25K |
| 92341 | 1.2% | 373 | 358 | $11K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 68 | 64 | $1K |
2 more codes
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.