Simic, Vesna
Simic, Vesna was paid $1.08M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 21% of everything it billed.
33Billing provider infoSIMIC, VESNA
DEERFIELD, IL 60015
DEERFIELD, IL 60015
33aNPI1912041468assigned 02/17/2007
33bProvider typeOptometrist
28Total paid$1.08M
24GClaims40,194
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#46 of 1,069
Median peer was paid$56K
This provider vs. median19×
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 | 2,313 | $71K | |
| 2019 | 4,464 | $111K | |
| 2020 | 5,743 | $166K | |
| 2021 | 6,943 | $194K | |
| 2022 | 6,513 | $168K | |
| 2023 | 6,853 | $178K | |
| 2024incomplete | 7,365 | $191K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 21% | 7,755 | 7,245 | $227K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 4,293 | 3,997 | $200K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 16% | 3,949 | 3,721 | $175K |
| 92015 | Determination of refractive state | 13% | 8,222 | 7,731 | $144K |
| V2025 | Deluxe frame | 12% | 5,104 | 4,721 | $126K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.0% | 1,428 | 1,308 | $65K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.9% | 3,317 | 3,092 | $42K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.6% | 617 | 524 | $28K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.9% | 3,281 | 3,077 | $21K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.5% | 375 | 374 | $17K |
| V2020 | Frames, purchases | 1.2% | 1,005 | 938 | $13K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.1% | 264 | 264 | $12K |
4 more codes
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 277 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 37 | $4K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 244 | $3K |
| 2022F | 0% | 26 | $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.