Durst-Sharpe, Kelly
Durst-Sharpe, Kelly was paid $262K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 60% of everything it billed.
33Billing provider infoDURST-SHARPE, KELLY
QUINCY, IL 62301
QUINCY, IL 62301
33aNPI1447632187assigned 06/18/2015
33bProvider typeOptometrist
28Total paid$262K
24GClaims8,916
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#233 of 1,069
Median peer was paid$56K
This provider vs. median4.7×
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 | 654 | $19K | |
| 2019 | 1,067 | $32K | |
| 2020 | 2,136 | $63K | |
| 2021 | 1,568 | $47K | |
| 2022 | 1,224 | $36K | |
| 2023 | 1,123 | $31K | |
| 2024incomplete | 1,144 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 60% | 3,740 | 3,236 | $157K |
| 92015 | Determination of refractive state | 26% | 3,858 | 3,368 | $67K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 1,168 | 1,087 | $34K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 86 | 82 | $3K |
| 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% | 64 | 63 | $2K |
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.