Macagba, Gregory
Macagba, Gregory was paid $101K by Medicaid between Jan 2019 and Oct 2023, across 10 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 27% of everything it billed.
33Billing provider infoMACAGBA, GREGORY
MANTENO, IL 60950
MANTENO, IL 60950
33aNPI1487130274assigned 07/14/2018
33bProvider typeOptometrist
28Total paid$101K
24GClaims2,847
24DCodes billed10
24AFirst – last monthJan 2019 – Oct 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#412 of 1,069
Median peer was paid$56K
This provider vs. median1.8×
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 | |
|---|---|---|---|
| 2019 | 381 | $14K | |
| 2020 | 852 | $36K | |
| 2021 | 555 | $24K | |
| 2022 | 358 | $9K | |
| 2023 | 701 | $17K |
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 | 27% | 415 | 335 | $28K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 25% | 602 | 549 | $25K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 23% | 549 | 492 | $24K |
| V2020 | Frames, purchases | 9.3% | 323 | 297 | $9K |
| 92015 | Determination of refractive state | 6.0% | 465 | 447 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.5% | 126 | 123 | $3K |
| V2025 | Deluxe frame | 1.9% | 175 | 129 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.9% | 43 | 42 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.7% | 137 | 128 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.2% | 12 | 12 | $1K |
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.