Doherty, James
Doherty, James was paid $105K by Medicaid between Jan 2018 and Aug 2023, across 14 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 24% of everything it billed.
33Billing provider infoDOHERTY, JAMES
LINDENHURST, IL 60046
LINDENHURST, IL 60046
33aNPI1427001718assigned 05/18/2006
33bProvider typeOptometrist
28Total paid$105K
24GClaims2,855
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#404 of 1,069
Median peer was paid$56K
This provider vs. median1.9×
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 | 2,558 | $94K | |
| 2019 | 228 | $8K | |
| 2021 | 43 | $2K | |
| 2022 | 12 | $540.00 | |
| 2023 | 14 | $140.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24% | 472 | 324 | $25K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 480 | 372 | $22K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 15% | 105 | 58 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 322 | 286 | $15K |
| V2025 | Deluxe frame | 6.8% | 494 | 333 | $7K |
| 92015 | Determination of refractive state | 5.4% | 314 | 309 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.4% | 161 | 159 | $5K |
| V2020 | Frames, purchases | 3.3% | 143 | 139 | $3K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.6% | 60 | 57 | $3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.9% | 44 | 42 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 29 | 29 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 137 | 136 | $400.00 |
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.