Kirby, Nathan
Kirby, Nathan was paid $99K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 45% of everything it billed.
33Billing provider infoKIRBY, NATHAN
HILLSBORO, IL 62049
HILLSBORO, IL 62049
33aNPI1558719054assigned 05/25/2016
33bProvider typeOptometrist
28Total paid$99K
24GClaims3,077
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#418 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 | |
|---|---|---|---|
| 2018 | 954 | $27K | |
| 2019 | 597 | $16K | |
| 2020 | 182 | $4K | |
| 2021 | 251 | $6K | |
| 2022 | 353 | $26K | |
| 2023 | 542 | $15K | |
| 2024incomplete | 198 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 45% | 1,683 | 1,570 | $45K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 29% | 630 | 586 | $29K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 296 | 283 | $13K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 441 | 408 | $11K |
| 92341 | <1% | 15 | 13 | $337.08 | |
| V2020 | Frames, purchases | <1% | 12 | 12 | $180.00 |
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.