Scarpulla, Kathleen

Scarpulla, Kathleen was paid $78K by Medicaid between Jan 2018 and Aug 2024, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 43% of everything it billed.

33Billing provider infoSCARPULLA, KATHLEEN
CHICAGO, IL 60634

33aNPI1790886851assigned 09/25/2006

33bProvider typeOphthalmology Physician

28Total paid$78K

24GClaims2,864

24DCodes billed6

24AFirst – last monthJan 2018 – Aug 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#166 of 431

Median peer was paid$34K

This provider vs. median2.3×

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	445	$8K
2019	935	$23K
2020	663	$19K
2021	552	$19K
2022	161	$5K
2023	52	$2K
2024incomplete	56	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	43%	637	573	$34K
83861		15%	650	408	$12K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	15%	211	191	$12K
92015	Determination of refractive state	12%	507	433	$9K
92250		12%	465	437	$9K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	3.0%	394	394	$2K

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.