Hall, Debra
Hall, Debra was paid $921K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoHALL, DEBRA
MARION, IL 62959
MARION, IL 62959
33aNPI1811949373assigned 05/16/2006
33bProvider typeOptometrist
28Total paid$921K
24GClaims32,448
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#62 of 1,069
Median peer was paid$56K
This provider vs. median16×
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 | 3,893 | $97K | |
| 2019 | 5,905 | $165K | |
| 2020 | 4,742 | $137K | |
| 2021 | 4,992 | $142K | |
| 2022 | 4,468 | $130K | |
| 2023 | 4,809 | $140K | |
| 2024incomplete | 3,639 | $110K |
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 | 29% | 6,539 | 6,152 | $271K |
| 92015 | Determination of refractive state | 20% | 10,389 | 9,851 | $181K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 6,119 | 5,802 | $180K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 3,497 | 3,277 | $158K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.4% | 2,755 | 2,507 | $59K |
| V2020 | Frames, purchases | 3.1% | 1,035 | 979 | $28K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 399 | 376 | $13K |
| 92341 | 1.4% | 441 | 422 | $13K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 246 | 232 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 289 | 279 | $4K |
| 92002 | <1% | 135 | 134 | $3K | |
| V2025 | Deluxe frame | <1% | 108 | 101 | $1K |
4 more codes
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.