Tira, Tonya
Tira, Tonya was paid $23K by Medicaid between Jan 2018 and Jun 2019, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 39% of everything it billed.
33Billing provider infoTIRA, TONYA
DOWNERS GROVE, IL 60515
DOWNERS GROVE, IL 60515
33aNPI1629124219assigned 01/26/2007
33bProvider typeOptometrist
28Total paid$23K
24GClaims783
24DCodes billed4
24AFirst – last monthJan 2018 – Jun 2019
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#696 of 1,069
Median peer was paid$56K
This provider vs. median0.4×
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 | 228 | $5K | |
| 2019 | 555 | $17K |
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 | 39% | 212 | 209 | $9K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 27% | 212 | 211 | $6K |
| 92015 | Determination of refractive state | 22% | 294 | 294 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 65 | 64 | $3K |
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.