Smith, Robert
Smith, Robert was paid $9K by Medicaid between Dec 2022 and Nov 2024, across 3 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 67% of everything it billed.
33Billing provider infoSMITH, ROBERT
MARION, IL 62959
MARION, IL 62959
33aNPI1558419325assigned 01/08/2007
33bProvider typeOptometrist
28Total paid$9K
24GClaims330
24DCodes billed3
24AFirst – last monthDec 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#821 of 1,069
Median peer was paid$56K
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2022 | 13 | $272.59 | |
| 2023 | 190 | $5K | |
| 2024incomplete | 127 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 67% | 220 | 188 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 39 | 36 | $2K |
| 92015 | Determination of refractive state | 15% | 71 | 68 | $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.