Maduzia, Donald
Maduzia, Donald was paid $2.59M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 27% of everything it billed.
33Billing provider infoMADUZIA, DONALD
CLARENDON HILLS, IL 60514
CLARENDON HILLS, IL 60514
33aNPI1518049626assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$2.59M
24GClaims103,324
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#11 of 1,069
Median peer was paid$56K
This provider vs. median46×
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 | 6,329 | $174K | |
| 2019 | 9,891 | $258K | |
| 2020 | 12,453 | $332K | |
| 2021 | 22,733 | $560K | |
| 2022 | 13,627 | $337K | |
| 2023 | 19,483 | $470K | |
| 2024incomplete | 18,808 | $463K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 15,650 | 14,084 | $706K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 16,388 | 14,416 | $471K |
| 92015 | Determination of refractive state | 13% | 23,353 | 21,039 | $338K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 7,666 | 6,799 | $333K |
| V2025 | Deluxe frame | 12% | 8,526 | 7,925 | $304K |
| V2020 | Frames, purchases | 5.0% | 8,608 | 7,528 | $129K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.9% | 7,882 | 6,839 | $102K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.0% | 5,815 | 4,805 | $51K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.8% | 3,853 | 3,583 | $46K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.1% | 2,402 | 2,045 | $29K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 502 | 498 | $22K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 382 | 305 | $17K |
5 more codes
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,017 | $17K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 316 | $15K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 327 | $6K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 470 | $6K |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 167 | $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.