Gaughan, Caitlin
Gaughan, Caitlin was paid $68K by Medicaid between Aug 2021 and Dec 2022, across 9 billing codes. Its largest line is 92250, — 20% of everything it billed.
33Billing provider infoGAUGHAN, CAITLIN
SHELBYVILLE, IL 62565
SHELBYVILLE, IL 62565
33aNPI1437757473assigned 10/13/2020
33bProvider typeOptometrist
28Total paid$68K
24GClaims2,447
24DCodes billed9
24AFirst – last monthAug 2021 – Dec 2022
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#503 of 1,069
Median peer was paid$56K
This provider vs. median1.2×
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 | |
|---|---|---|---|
| 2021 | 44 | $412.25 | |
| 2022 | 2,403 | $67K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 20% | 500 | 476 | $14K | |
| V2020 | Frames, purchases | 19% | 326 | 319 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 379 | 362 | $13K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 238 | 233 | $10K |
| 92015 | Determination of refractive state | 13% | 541 | 516 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 304 | 284 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.1% | 84 | 81 | $758.74 |
| 92341 | <1% | 14 | 12 | $409.08 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 61 | 58 | $351.10 |
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.