Machala, Sarah
Machala, Sarah was paid $35K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 42% of everything it billed.
33Billing provider infoMACHALA, SARAH
GALENA, IL 61036
GALENA, IL 61036
33aNPI1407934961assigned 11/01/2006
33bProvider typeOptometrist
28Total paid$35K
24GClaims1,632
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#616 of 1,069
Median peer was paid$56K
This provider vs. median0.6×
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 | 84 | $2K | |
| 2019 | 363 | $8K | |
| 2020 | 158 | $3K | |
| 2021 | 56 | $1K | |
| 2022 | 231 | $5K | |
| 2023 | 405 | $9K | |
| 2024incomplete | 335 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 42% | 518 | 501 | $15K |
| 92015 | Determination of refractive state | 41% | 857 | 836 | $14K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 201 | 195 | $5K |
| 92002 | 2.6% | 32 | 32 | $909.20 | |
| V2020 | Frames, purchases | <1% | 12 | 12 | $300.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | 12 | $154.00 |
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.