Unwin, Donald

Unwin, Donald was paid $35K by Medicaid between Jan 2018 and Dec 2023, across 10 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 56% of everything it billed.

33Billing provider infoUNWIN, DONALD
BELLEVILLE, IL 62220

33aNPI1407851157assigned 06/19/2005

33bProvider typeOphthalmology Physician

28Total paid$35K

24GClaims834

24DCodes billed10

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#213 of 431

Median peer was paid$34K

This provider vs. median1.0×

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	252	$5K
2019	345	$7K
2020	122	$2K
2021	52	$10K
2022	12	$258.58
2023	51	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	56%	27	25	$19K
92015	Determination of refractive state	19%	383	360	$7K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	11%	166	164	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	5.2%	121	112	$2K
92136		2.8%	43	37	$966.29
92083		2.0%	27	27	$700.23
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	1.6%	26	24	$557.75
99202	Office or other outpatient visit for the evaluation and management of a new patient, straightforward	1.1%	13	13	$387.20
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%	12	12	$328.31
92133		<1%	16	16	$156.00

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.