Finkelstein, Gary

Finkelstein, Gary was paid $16K by Medicaid between Jan 2018 and Mar 2023, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 54% of everything it billed.

33Billing provider infoFINKELSTEIN, GARY
STREATOR, IL 61364

33aNPI1962475939assigned 02/09/2006

33bProvider typeOphthalmology Physician

28Total paid$16K

24GClaims828

24DCodes billed6

24AFirst – last monthJan 2018 – Mar 2023

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#262 of 431

Median peer was paid$34K

This provider vs. median0.5×

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	268	$4K
2019	326	$6K
2020	92	$1K
2021	63	$2K
2022	49	$2K
2023	30	$1K

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	54%	305	282	$9K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	26%	354	302	$4K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	8.4%	114	92	$1K
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	5.2%	19	13	$814.70
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	4.8%	24	24	$761.20
92015	Determination of refractive state	1.4%	12	12	$216.94

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.