Chacon, Alicia
Chacon, Alicia was paid $42.88 by Medicaid between Dec 2019 and Dec 2019, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoCHACON, ALICIA
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
33aNPI1831541887assigned 07/01/2016
33bProvider typePediatric Optometrist
28Total paid$42.88
24GClaims17
24DCodes billed1
24AFirst – last monthDec 2019 – Dec 2019
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 | |
|---|---|---|---|
| 2019 | 17 | $42.88 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 17 | 17 | $42.88 |
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.