Proctor, Brian

Proctor, Brian was paid $40K by Medicaid between Jan 2018 and Aug 2024, across 8 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 76% of everything it billed.

33Billing provider infoPROCTOR, BRIAN
MELROSE PARK, IL 60160

33aNPI1649276833assigned 06/22/2005

33bProvider typeOphthalmology Physician

28Total paid$40K

24GClaims483

24DCodes billed8

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#207 of 431

Median peer was paid$34K

This provider vs. median1.2×

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	68	$688.04
2019	44	$771.29
2020	14	$78.90
2022	60	$2K
2023	143	$19K
2024incomplete	154	$18K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	76%	55	53	$31K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	8.7%	169	160	$4K
92015	Determination of refractive state	6.3%	147	140	$3K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	2.9%	25	25	$1K
92136		2.1%	31	30	$823.94
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	1.7%	13	12	$693.41
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.5%	31	27	$605.12
92250		<1%	12	12	$185.77

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.