Unger, Thomas
Unger, Thomas was paid $89K by Medicaid between Jan 2019 and Feb 2022, across 12 billing codes. Its largest line is 92065, — 28% of everything it billed.
33Billing provider infoUNGER, THOMAS
TROY, IL 62294
TROY, IL 62294
33aNPI1629158092assigned 10/17/2006
33bProvider typeOptometrist
28Total paid$89K
24GClaims3,913
24DCodes billed12
24AFirst – last monthJan 2019 – Feb 2022
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#437 of 1,069
Median peer was paid$56K
This provider vs. median1.6×
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 | |
|---|---|---|---|
| 2019 | 1,656 | $36K | |
| 2020 | 1,140 | $28K | |
| 2021 | 1,104 | $24K | |
| 2022 | 13 | $367.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92065 | 28% | 1,118 | 259 | $25K | |
| 92015 | Determination of refractive state | 17% | 827 | 646 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 284 | 238 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 270 | 172 | $12K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 328 | 275 | $10K |
| 97533 | 9.7% | 463 | 113 | $9K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.6% | 128 | 117 | $3K |
| V2020 | Frames, purchases | 1.1% | 304 | 214 | $943.20 |
| 92060 | <1% | 28 | 27 | $697.20 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | 44 | $509.51 |
| 92341 | <1% | 13 | 13 | $380.64 | |
| 3072F | 0% | 85 | 74 | $0.00 |
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.