Roby, Michele
Roby, Michele was paid $755K by Medicaid between Jan 2018 and Dec 2022, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoROBY, MICHELE
CHICAGO, IL 60619
CHICAGO, IL 60619
33aNPI1730225186assigned 01/30/2007
33bProvider typeOptometrist
28Total paid$755K
24GClaims25,836
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#83 of 1,069
Median peer was paid$56K
This provider vs. median13×
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 | 3,629 | $123K | |
| 2019 | 6,896 | $190K | |
| 2020 | 5,186 | $155K | |
| 2021 | 4,463 | $132K | |
| 2022 | 5,662 | $156K |
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 | 23% | 3,959 | 3,577 | $174K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 3,938 | 3,626 | $113K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 2,292 | 2,005 | $106K |
| 92015 | Determination of refractive state | 13% | 5,871 | 5,367 | $100K |
| V2025 | Deluxe frame | 12% | 2,847 | 2,505 | $88K |
| 92341 | 5.7% | 1,547 | 1,426 | $43K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 5.2% | 935 | 771 | $39K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.4% | 323 | 260 | $26K |
| V2020 | Frames, purchases | 2.3% | 810 | 772 | $17K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.3% | 379 | 313 | $17K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 1,120 | 1,054 | $16K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 1,372 | 1,277 | $9K |
2 more codes
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.