Daccache, Ivetta
Daccache, Ivetta was paid $5K by Medicaid between Jan 2023 and Aug 2023, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 48% of everything it billed.
33Billing provider infoDACCACHE, IVETTA
PEKIN, IL 61554
PEKIN, IL 61554
33aNPI1790772143assigned 09/30/2005
33bProvider typeOptometrist
28Total paid$5K
24GClaims208
24DCodes billed3
24AFirst – last monthJan 2023 – Aug 2023
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#882 of 1,069
Median peer was paid$56K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2023 | 208 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 48% | 144 | 143 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 44% | 52 | 52 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.1% | 12 | 12 | $436.10 |
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.