Pellegrini, Mark
Pellegrini, Mark was paid $71K by Medicaid between Mar 2018 and Jul 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.
33Billing provider infoPELLEGRINI, MARK
DANVILLE, IL 61832
DANVILLE, IL 61832
33aNPI1720065246assigned 12/27/2005
33bProvider typeOptometrist
28Total paid$71K
24GClaims2,524
24DCodes billed4
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#485 of 1,069
Median peer was paid$56K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2018 | 12 | $247.72 | |
| 2019 | 320 | $8K | |
| 2020 | 493 | $13K | |
| 2021 | 771 | $22K | |
| 2022 | 620 | $19K | |
| 2023 | 243 | $7K | |
| 2024incomplete | 65 | $1K |
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 | 39% | 621 | 566 | $28K |
| 92015 | Determination of refractive state | 36% | 1,441 | 1,341 | $26K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 345 | 325 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 4.9% | 117 | 112 | $3K |
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.