Marselle, Robert

Marselle, Robert was paid $112K by Medicaid between Oct 2018 and Jul 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 41% of everything it billed.

33Billing provider infoMARSELLE, ROBERT
ELMHURST, IL 60126

33aNPI1841241981assigned 05/13/2006

33bProvider typeOphthalmology Physician

28Total paid$112K

24GClaims3,383

24DCodes billed7

24AFirst – last monthOct 2018 – Jul 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#145 of 431

Median peer was paid$34K

This provider vs. median3.3×

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	27	$681.00
2019	527	$15K
2020	595	$18K
2021	869	$32K
2022	556	$18K
2023	506	$17K
2024incomplete	303	$12K

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	41%	1,261	1,139	$46K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	32%	741	710	$36K
92015	Determination of refractive state	20%	1,276	1,195	$22K
99243		5.9%	67	60	$7K
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%	14	14	$422.88
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	12	12	$364.57
92083		<1%	12	12	$266.11

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.