Bereketab, Elilta
Bereketab, Elilta was paid $20K by Medicaid between Jan 2018 and Sep 2019, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoBEREKETAB, ELILTA
CHANDLER, AZ 85286
CHANDLER, AZ 85286
33aNPI1598712002assigned 05/28/2006
33bProvider typeOptometrist
28Total paid$20K
24GClaims866
24DCodes billed5
24AFirst – last monthJan 2018 – Sep 2019
Compared with peers
Next to other Optometrist providers in Arizona
Rank by total paid#37 of 90
Median peer was paid$7K
This provider vs. median3.1×
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 | 575 | $13K | |
| 2019 | 291 | $7K |
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 | 38% | 205 | 202 | $8K |
| 92015 | Determination of refractive state | 33% | 397 | 387 | $7K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 96 | 93 | $3K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 13% | 155 | 141 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 13 | 13 | $464.50 |
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.