Lietz, Jerome
Lietz, Jerome was paid $16K by Medicaid between Nov 2020 and Mar 2022, across 5 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 34% of everything it billed.
33Billing provider infoLIETZ, JEROME
CREST HILL, IL 60403
CREST HILL, IL 60403
33aNPI1609968650assigned 09/28/2006
33bProvider typeOptometrist
28Total paid$16K
24GClaims386
24DCodes billed5
24AFirst – last monthNov 2020 – Mar 2022
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#748 of 1,069
Median peer was paid$56K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 12 | $540.00 | |
| 2021 | 266 | $11K | |
| 2022 | 108 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 34% | 119 | 119 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 108 | 108 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 29% | 74 | 73 | $5K |
| V2020 | Frames, purchases | 4.9% | 72 | 72 | $777.60 |
| V2025 | Deluxe frame | 1.7% | 13 | 12 | $272.74 |
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.