Peterman, Jesse
Peterman, Jesse was paid $243K by Medicaid between Jan 2018 and Apr 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 24% of everything it billed.
33Billing provider infoPETERMAN, JESSE
ELK GROVE VILLAGE, IL 60007
ELK GROVE VILLAGE, IL 60007
33aNPI1851482194assigned 09/28/2006
33bProvider typeOptometrist
28Total paid$243K
24GClaims8,094
24DCodes billed12
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#246 of 1,069
Median peer was paid$56K
This provider vs. median4.4×
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 | 836 | $28K | |
| 2019 | 325 | $14K | |
| 2020 | 605 | $23K | |
| 2021 | 1,014 | $33K | |
| 2022 | 2,011 | $55K | |
| 2023 | 2,400 | $65K | |
| 2024incomplete | 903 | $24K |
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 | 24% | 1,347 | 1,255 | $58K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 1,177 | 1,141 | $52K |
| 92015 | Determination of refractive state | 16% | 2,484 | 2,420 | $39K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 867 | 835 | $25K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.9% | 547 | 464 | $22K |
| V2020 | Frames, purchases | 8.3% | 723 | 703 | $20K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.3% | 341 | 265 | $15K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.8% | 382 | 375 | $4K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.1% | 41 | 41 | $3K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 50 | 46 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 90 | 90 | $950.62 |
| V2025 | Deluxe frame | <1% | 45 | 45 | $494.50 |
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.