Kulbak, Adalina
Kulbak, Adalina was paid $134K by Medicaid between Jan 2018 and Oct 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 38% of everything it billed.
33Billing provider infoKULBAK, ADALINA
SKOKIE, IL 60076
SKOKIE, IL 60076
33aNPI1972651636assigned 01/08/2007
33bProvider typeOptometrist
28Total paid$134K
24GClaims4,665
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#353 of 1,069
Median peer was paid$56K
This provider vs. median2.4×
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 | 2,249 | $78K | |
| 2019 | 2,390 | $55K | |
| 2024incomplete | 26 | $783.05 |
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 | 38% | 1,171 | 1,054 | $51K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 17% | 498 | 428 | $23K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 16% | 818 | 751 | $21K |
| 92015 | Determination of refractive state | 11% | 900 | 853 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.2% | 192 | 169 | $8K |
| V2020 | Frames, purchases | 5.6% | 713 | 622 | $7K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.6% | 33 | 24 | $5K |
| 92341 | 2.0% | 108 | 96 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 12 | 12 | $540.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 126 | 101 | $90.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 94 | 76 | $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.