Crouch, Nathan
Crouch, Nathan was paid $75K by Medicaid between Jan 2018 and May 2020, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.
33Billing provider infoCROUCH, NATHAN
CHAMPAIGN, IL 61822
CHAMPAIGN, IL 61822
33aNPI1750386215assigned 06/20/2005
33bProvider typeOptometrist
28Total paid$75K
24GClaims4,170
24DCodes billed11
24AFirst – last monthJan 2018 – May 2020
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#470 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 | 1,598 | $25K | |
| 2019 | 2,023 | $40K | |
| 2020 | 549 | $10K |
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 | 25% | 823 | 795 | $19K |
| 92015 | Determination of refractive state | 21% | 873 | 850 | $16K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 16% | 1,070 | 1,024 | $12K |
| 92083 | 13% | 498 | 485 | $10K | |
| 92133 | 8.0% | 401 | 390 | $6K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.1% | 142 | 135 | $5K |
| 92341 | 7.0% | 210 | 191 | $5K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.8% | 107 | 104 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 12 | 12 | $351.36 |
| 92134 | <1% | 16 | 16 | $286.00 | |
| V2020 | Frames, purchases | <1% | 18 | 18 | $75.00 |
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.