Jensen, Nicole
Jensen, Nicole was paid $845K by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
33Billing provider infoJENSEN, NICOLE
PEORIA, IL 61606
PEORIA, IL 61606
33aNPI1790072924assigned 07/08/2011
33bProvider typeOptometrist
28Total paid$845K
24GClaims32,367
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#71 of 1,069
Median peer was paid$56K
This provider vs. median15×
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 | 1,479 | $38K | |
| 2019 | 4,121 | $116K | |
| 2020 | 4,567 | $131K | |
| 2021 | 5,208 | $134K | |
| 2022 | 6,133 | $152K | |
| 2023 | 5,973 | $149K | |
| 2024incomplete | 4,886 | $125K |
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 | 22% | 4,261 | 3,908 | $183K |
| 92015 | Determination of refractive state | 15% | 7,205 | 6,587 | $129K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 2,833 | 2,567 | $128K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 3,487 | 3,181 | $102K |
| 92250 | 9.5% | 1,999 | 1,831 | $80K | |
| V2025 | Deluxe frame | 9.1% | 2,129 | 1,962 | $77K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.7% | 3,469 | 3,191 | $57K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.7% | 2,914 | 2,639 | $23K |
| V2020 | Frames, purchases | 2.6% | 2,357 | 2,172 | $22K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.2% | 383 | 343 | $10K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.1% | 375 | 348 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 287 | 260 | $9K |
5 more codes
| 92341 | 1.0% | 303 | $9K | |
| 92133 | <1% | 196 | $5K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 33 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 116 | $1K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 20 | $900.00 |
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.