Toledo, Micaela
Toledo, Micaela was paid $43K by Medicaid between Mar 2018 and Nov 2022, across 9 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 38% of everything it billed.
33Billing provider infoTOLEDO, MICAELA
EVERGREEN PARK, IL 60805
EVERGREEN PARK, IL 60805
33aNPI1831415702assigned 04/15/2010
33bProvider typeOptometrist
28Total paid$43K
24GClaims1,044
24DCodes billed9
24AFirst – last monthMar 2018 – Nov 2022
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#584 of 1,069
Median peer was paid$56K
This provider vs. median0.8×
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 | 145 | $7K | |
| 2019 | 139 | $7K | |
| 2020 | 586 | $25K | |
| 2022 | 174 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 38% | 366 | 223 | $16K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 26% | 193 | 117 | $11K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 13% | 58 | 52 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 124 | 100 | $5K |
| V2025 | Deluxe frame | 4.0% | 159 | 104 | $2K |
| V2020 | Frames, purchases | 2.3% | 26 | 26 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.3% | 25 | 25 | $1K |
| 92015 | Determination of refractive state | 1.8% | 79 | 79 | $790.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 14 | 14 | $180.04 |
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.