Herro, Lester
Herro, Lester was paid $2.19M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.
33Billing provider infoHERRO, LESTER
CHICAGO, IL 60609
CHICAGO, IL 60609
33aNPI1851420590assigned 03/05/2007
33bProvider typeOptometrist
28Total paid$2.19M
24GClaims93,405
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#14 of 1,069
Median peer was paid$56K
This provider vs. median39×
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 | 6,726 | $207K | |
| 2019 | 14,115 | $327K | |
| 2020 | 16,308 | $388K | |
| 2021 | 14,032 | $318K | |
| 2022 | 13,146 | $295K | |
| 2023 | 15,752 | $357K | |
| 2024incomplete | 13,326 | $298K |
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 | 25% | 12,940 | 11,364 | $546K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 15,021 | 13,677 | $429K |
| 92015 | Determination of refractive state | 14% | 19,301 | 17,723 | $317K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13% | 6,461 | 5,669 | $278K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 7.3% | 11,238 | 9,865 | $159K |
| V2020 | Frames, purchases | 6.9% | 12,989 | 11,827 | $150K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.8% | 1,565 | 1,376 | $61K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.6% | 2,983 | 2,566 | $58K |
| 92002 | 2.0% | 1,555 | 1,427 | $43K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.5% | 754 | 744 | $33K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.2% | 4,268 | 3,932 | $26K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | 1.0% | 256 | 239 | $22K |
8 more codes
| V2025 | Deluxe frame | <1% | 1,823 | $20K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 433 | $20K |
| V2599 | Contact lens, other type | <1% | 186 | $15K |
| 92310 | <1% | 292 | $7K | |
| 92341 | <1% | 166 | $4K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 170 | $548.68 |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 13 | $146.74 |
| 3072F | 0% | 991 | $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.