Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Heden, Jeffrey

Heden, Jeffrey was paid $1.06M by Medicaid between Jan 2018 and Oct 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.

33Billing provider infoHEDEN, JEFFREY
ROCK ISLAND, IL 61201
33aNPI1770580797assigned 07/05/2005
33bProvider typeOptometrist
28Total paid$1.06M
24GClaims36,222
24DCodes billed19
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#48 of 1,069
Median peer was paid$56K
This provider vs. median19×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20185,422$167K
20198,030$251K
20206,229$197K
202110,603$292K
20225,725$150K
2023117$3K
2024incomplete96$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 5,390 4,662 $229K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 16% 3,829 3,467 $171K
92015 Determination of refractive state 16% 9,375 8,313 $169K
V2025 Deluxe frame 12% 2,013 1,899 $131K
92250 9.5% 2,407 2,109 $101K
92340 Fitting of spectacles, except for aphakia; monofocal 8.3% 2,967 2,487 $88K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 6.0% 3,223 2,761 $63K
V2020 Frames, purchases 2.5% 2,233 1,787 $27K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens 2.2% 782 677 $24K
V2784 Lens, polycarbonate or equal, any index, per lens 1.7% 2,455 2,000 $18K
92341 1.5% 568 471 $16K
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% 370 340 $9K
7 more codes
92083 <1% 178 $6K
92133 <1% 184 $4K
92020 <1% 131 $2K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 47 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 31 $647.70
99214 Doctor's office visit, returning patient (more involved) <1% 13 $540.80
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 26 $303.28

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.