Ramirez, Rosalba
Ramirez, Rosalba was paid $229K by Medicaid between Oct 2019 and Aug 2024, across 12 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoRAMIREZ, ROSALBA
FRANKLIN PARK, IL 60131
FRANKLIN PARK, IL 60131
33aNPI1679127021assigned 07/24/2019
33bProvider typeOptometrist
28Total paid$229K
24GClaims7,785
24DCodes billed12
24AFirst – last monthOct 2019 – Aug 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#260 of 1,069
Median peer was paid$56K
This provider vs. median4.1×
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 | 104 | $3K | |
| 2020 | 2,121 | $63K | |
| 2021 | 3,135 | $89K | |
| 2022 | 2,319 | $71K | |
| 2024incomplete | 106 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 36% | 1,842 | 1,684 | $83K |
| 92015 | Determination of refractive state | 22% | 2,865 | 2,592 | $51K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 1,101 | 957 | $46K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 993 | 973 | $29K |
| V2020 | Frames, purchases | 2.8% | 268 | 268 | $6K |
| 92250 | 2.6% | 164 | 136 | $6K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 107 | 107 | $4K |
| 92341 | <1% | 55 | 51 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 39 | 37 | $964.81 |
| 92285 | <1% | 34 | 32 | $921.20 | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 101 | 101 | $749.78 |
| 3072F | 0% | 216 | 216 | $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.