Gustafson, Steve
Gustafson, Steve was paid $791K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 26% of everything it billed.
33Billing provider infoGUSTAFSON, STEVE
OSWEGO, IL 60543
OSWEGO, IL 60543
33aNPI1609948975assigned 11/14/2006
33bProvider typeOptometrist
28Total paid$791K
24GClaims28,578
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#74 of 1,069
Median peer was paid$56K
This provider vs. median14×
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 | 2,983 | $95K | |
| 2019 | 2,765 | $94K | |
| 2020 | 3,746 | $123K | |
| 2021 | 3,767 | $115K | |
| 2022 | 4,828 | $118K | |
| 2023 | 5,574 | $129K | |
| 2024incomplete | 4,915 | $117K |
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 | 26% | 4,872 | 4,372 | $209K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 15% | 2,960 | 2,514 | $117K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 3,790 | 3,473 | $100K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 2,035 | 1,838 | $93K |
| 92015 | Determination of refractive state | 11% | 5,796 | 5,358 | $88K |
| V2020 | Frames, purchases | 9.0% | 2,886 | 2,780 | $71K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.7% | 1,183 | 966 | $53K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.5% | 2,251 | 2,179 | $28K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.6% | 1,030 | 1,026 | $13K |
| V2025 | Deluxe frame | 1.6% | 1,152 | 845 | $13K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 59 | 56 | $3K |
| 92370 | <1% | 479 | 385 | $2K |
3 more codes
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.