Cleland, Erika
Cleland, Erika was paid $409K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoCLELAND, ERIKA
CRYSTAL LAKE, IL 60014
CRYSTAL LAKE, IL 60014
33aNPI1740577956assigned 07/08/2011
33bProvider typeOptometrist
28Total paid$409K
24GClaims15,092
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#168 of 1,069
Median peer was paid$56K
This provider vs. median7.3×
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 | 871 | $26K | |
| 2019 | 1,699 | $55K | |
| 2020 | 1,701 | $53K | |
| 2021 | 1,185 | $35K | |
| 2022 | 1,789 | $47K | |
| 2023 | 3,250 | $80K | |
| 2024incomplete | 4,597 | $112K |
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% | 2,768 | 2,529 | $124K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 1,794 | 1,648 | $83K |
| 92015 | Determination of refractive state | 19% | 4,776 | 4,399 | $79K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 17% | 2,318 | 2,085 | $69K |
| V2020 | Frames, purchases | 6.5% | 1,295 | 1,266 | $26K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.0% | 988 | 966 | $12K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.9% | 902 | 883 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 185 | 184 | $2K |
| 92341 | <1% | 53 | 52 | $2K | |
| 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% | 13 | 13 | $283.50 |
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.