Carver, Donna
Carver, Donna was paid $451K by Medicaid between Jan 2018 and Nov 2023, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoCARVER, DONNA
CREST HILL, IL 60403
CREST HILL, IL 60403
33aNPI1720114499assigned 02/26/2007
33bProvider typeOptometrist
28Total paid$451K
24GClaims14,171
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#153 of 1,069
Median peer was paid$56K
This provider vs. median8.1×
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 | |
|---|---|---|---|
| 2018 | 2,857 | $103K | |
| 2019 | 3,387 | $112K | |
| 2020 | 3,069 | $101K | |
| 2021 | 1,079 | $36K | |
| 2022 | 111 | $3K | |
| 2023 | 3,668 | $96K |
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 | 30% | 3,231 | 2,801 | $134K |
| 92015 | Determination of refractive state | 13% | 3,672 | 3,339 | $60K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 12% | 1,037 | 808 | $53K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 1,157 | 1,035 | $50K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.3% | 1,416 | 1,207 | $42K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 7.5% | 748 | 603 | $34K |
| V2020 | Frames, purchases | 3.2% | 386 | 385 | $15K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.1% | 102 | 71 | $14K |
| V2025 | Deluxe frame | 1.9% | 759 | 574 | $8K |
| 92083 | 1.8% | 250 | 239 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.6% | 180 | 166 | $7K |
| 92285 | 1.2% | 187 | 167 | $6K |
7 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.0% | 359 | $5K |
| 92133 | <1% | 171 | $4K | |
| 92250 | <1% | 85 | $3K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 244 | $3K |
| 92341 | <1% | 86 | $2K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 75 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 26 | $2K |
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.