Setchell, Stacie
Setchell, Stacie was paid $361K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoSETCHELL, STACIE
MORRISON, IL 61270
MORRISON, IL 61270
33aNPI1528220670assigned 06/30/2008
33bProvider typeOptometrist
28Total paid$361K
24GClaims14,792
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#187 of 1,069
Median peer was paid$56K
This provider vs. median6.5×
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 | 3,295 | $83K | |
| 2019 | 2,704 | $63K | |
| 2020 | 1,773 | $42K | |
| 2021 | 2,225 | $51K | |
| 2022 | 2,184 | $52K | |
| 2023 | 1,489 | $41K | |
| 2024incomplete | 1,122 | $28K |
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 | 36% | 2,130 | 2,083 | $131K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 1,127 | 1,105 | $98K |
| V2020 | Frames, purchases | 20% | 3,084 | 2,930 | $74K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.2% | 1,260 | 1,123 | $26K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 383 | 372 | $17K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 140 | 135 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 656 | 557 | $2K |
| 92015 | Determination of refractive state | <1% | 4,103 | 4,016 | $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% | 64 | 49 | $2K |
| V2756 | Eye glass case | <1% | 1,688 | 1,614 | $2K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 111 | 91 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 30 | 29 | $815.36 |
1 more codes
| 92133 | <1% | 16 | $368.66 |
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.