Balda, Thomas
Balda, Thomas was paid $47K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoBALDA, THOMAS
LAKE ZURICH, IL 60047
LAKE ZURICH, IL 60047
33aNPI1396820858assigned 10/25/2006
33bProvider typeOptometrist
28Total paid$47K
24GClaims1,438
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#564 of 1,069
Median peer was paid$56K
This provider vs. median0.8×
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 | 695 | $25K | |
| 2019 | 141 | $6K | |
| 2020 | 126 | $5K | |
| 2021 | 13 | $239.85 | |
| 2022 | 119 | $2K | |
| 2023 | 139 | $3K | |
| 2024incomplete | 205 | $5K |
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 | 33% | 353 | 298 | $16K |
| 92015 | Determination of refractive state | 20% | 501 | 487 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 16% | 146 | 98 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 165 | 149 | $7K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.4% | 67 | 55 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.9% | 44 | 29 | $2K |
| V2025 | Deluxe frame | 3.8% | 111 | 80 | $2K |
| V2020 | Frames, purchases | <1% | 13 | 13 | $459.80 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 38 | 38 | $222.72 |
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.