Kats, Paul
Kats, Paul was paid $527K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoKATS, PAUL
DARIEN, IL 60561
DARIEN, IL 60561
33aNPI1760498125assigned 07/31/2006
33bProvider typeOptometrist
28Total paid$527K
24GClaims15,656
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#135 of 1,069
Median peer was paid$56K
This provider vs. median9.4×
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 | 1,202 | $43K | |
| 2019 | 1,998 | $67K | |
| 2020 | 2,318 | $80K | |
| 2021 | 2,722 | $101K | |
| 2022 | 2,870 | $92K | |
| 2023 | 2,157 | $68K | |
| 2024incomplete | 2,389 | $76K |
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 | 43% | 5,016 | 4,649 | $228K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 38% | 4,509 | 4,228 | $199K |
| 92015 | Determination of refractive state | 19% | 6,085 | 5,625 | $98K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 15 | 15 | $675.00 |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 13 | 13 | $585.00 |
| 3072F | 0% | 18 | 17 | $0.00 |
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.