Appel, Elizabeth
Appel, Elizabeth was paid $115K by Medicaid between Jan 2018 and Oct 2024, across 13 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 29% of everything it billed.
33Billing provider infoAPPEL, ELIZABETH
SYCAMORE, IL 60178
SYCAMORE, IL 60178
33aNPI1427238757assigned 11/03/2007
33bProvider typeOptometrist
28Total paid$115K
24GClaims5,897
24DCodes billed13
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#381 of 1,069
Median peer was paid$56K
This provider vs. median2.1×
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 | 67 | $2K | |
| 2019 | 1,314 | $26K | |
| 2020 | 2,437 | $41K | |
| 2021 | 707 | $14K | |
| 2022 | 305 | $7K | |
| 2023 | 483 | $11K | |
| 2024incomplete | 584 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 29% | 1,191 | 882 | $34K |
| 92015 | Determination of refractive state | 25% | 1,672 | 1,430 | $29K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 566 | 471 | $24K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 400 | 279 | $18K |
| V2020 | Frames, purchases | 3.1% | 749 | 564 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.4% | 526 | 335 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 79 | 73 | $1K |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 1.2% | 156 | 97 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 441 | 289 | $1K |
| 92341 | <1% | 37 | 30 | $618.12 | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 53 | 28 | $258.50 |
| V2799 | Vision item or service, miscellaneous | <1% | 15 | 14 | $175.02 |
1 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 12 | $170.00 |
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.