Ethezaz, Mariam
Ethezaz, Mariam was paid $446K by Medicaid between Jun 2019 and Dec 2024, across 13 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 25% of everything it billed.
33Billing provider infoETHEZAZ, MARIAM
GLENVIEW, IL 60025
GLENVIEW, IL 60025
33aNPI1962996181assigned 06/20/2018
33bProvider typeOptometrist
28Total paid$446K
24GClaims16,296
24DCodes billed13
24AFirst – last monthJun 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#156 of 1,069
Median peer was paid$56K
This provider vs. median8.0×
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 | |
|---|---|---|---|
| 2019 | 495 | $16K | |
| 2020 | 1,946 | $66K | |
| 2021 | 1,640 | $57K | |
| 2022 | 3,511 | $92K | |
| 2023 | 4,508 | $111K | |
| 2024incomplete | 4,196 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 2,534 | 2,494 | $112K |
| 92015 | Determination of refractive state | 14% | 3,957 | 3,914 | $60K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 1,397 | 1,396 | $59K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 1,898 | 1,867 | $56K |
| V2020 | Frames, purchases | 11% | 1,521 | 1,460 | $49K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.2% | 592 | 519 | $27K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.6% | 559 | 456 | $25K |
| V2025 | Deluxe frame | 5.3% | 844 | 820 | $24K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.0% | 1,829 | 1,789 | $18K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.6% | 1,020 | 1,016 | $12K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 109 | 109 | $1K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 20 | 20 | $929.00 |
1 more codes
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 16 | $711.20 |
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.