Kopke, Carol
Kopke, Carol was paid $197K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 24% of everything it billed.
33Billing provider infoKOPKE, CAROL
BLOOMINGDALE, IL 60108
BLOOMINGDALE, IL 60108
33aNPI1841354875assigned 12/21/2006
33bProvider typeOptometrist
28Total paid$197K
24GClaims6,099
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#284 of 1,069
Median peer was paid$56K
This provider vs. median3.5×
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 | 1,312 | $47K | |
| 2019 | 1,501 | $52K | |
| 2020 | 1,027 | $32K | |
| 2021 | 749 | $24K | |
| 2022 | 626 | $18K | |
| 2023 | 468 | $13K | |
| 2024incomplete | 416 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24% | 1,045 | 915 | $46K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 862 | 812 | $38K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 1,027 | 916 | $29K |
| 92015 | Determination of refractive state | 8.8% | 1,095 | 1,004 | $17K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.6% | 330 | 298 | $15K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 6.0% | 83 | 62 | $12K |
| V2025 | Deluxe frame | 5.9% | 758 | 649 | $12K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.0% | 221 | 188 | $10K |
| V2020 | Frames, purchases | 3.8% | 273 | 246 | $7K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 3.6% | 158 | 155 | $7K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.0% | 86 | 83 | $4K |
| S0581 | Nonstandard lens (list this code in addition to the basic code for the lens) | 0% | 31 | 31 | $0.00 |
1 more codes
| V2750 | Anti-reflective coating, per lens | 0% | 130 | $0.00 |
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.