Fullenwider, Robert
Fullenwider, Robert was paid $294K by Medicaid between Nov 2020 and Aug 2023, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 24% of everything it billed.
33Billing provider infoFULLENWIDER, ROBERT
HIGHLAND, IL 62249
HIGHLAND, IL 62249
33aNPI1699386755assigned 08/12/2020
33bProvider typeOptometrist
28Total paid$294K
24GClaims13,458
24DCodes billed11
24AFirst – last monthNov 2020 – Aug 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#224 of 1,069
Median peer was paid$56K
This provider vs. median5.3×
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
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 | |
|---|---|---|---|
| 2020 | 745 | $16K | |
| 2021 | 5,552 | $123K | |
| 2022 | 6,948 | $151K | |
| 2023 | 213 | $3K |
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 | 24% | 1,660 | 1,428 | $72K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 1,191 | 1,013 | $54K |
| 92015 | Determination of refractive state | 18% | 2,990 | 2,582 | $54K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 1,669 | 1,348 | $50K |
| V2020 | Frames, purchases | 7.9% | 2,285 | 1,901 | $23K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.4% | 1,372 | 1,057 | $16K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.3% | 1,473 | 1,198 | $13K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.6% | 570 | 545 | $8K |
| 92341 | 1.9% | 202 | 165 | $5K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 29 | 28 | $329.11 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 17 | 17 | $157.00 |
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.