Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Teraji, James

Teraji, James was paid $185K by Medicaid between Jan 2018 and Dec 2024, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.

33Billing provider infoTERAJI, JAMES
VILLA PARK, IL 60181
33aNPI1689758047assigned 10/24/2006
33bProvider typeOptometrist
28Total paid$185K
24GClaims5,980
24DCodes billed5
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#298 of 1,069
Median peer was paid$56K
This provider vs. median3.3×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018695$25K
2019866$30K
2020688$23K
2021645$24K
2022941$26K
20231,168$31K
2024incomplete977$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 42% 1,827 1,723 $79K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 38% 1,650 1,550 $70K
92015 Determination of refractive state 19% 2,471 2,417 $35K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 19 19 $855.00
S0621 Routine ophthalmological examination including refraction; established patient <1% 13 13 $585.00

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.