Burgos, Mary
Burgos, Mary was paid $375K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 22% of everything it billed.
33Billing provider infoBURGOS, MARY
ELMHURST, IL 60126
ELMHURST, IL 60126
33aNPI1982991980assigned 06/29/2011
33bProvider typeOptometrist
28Total paid$375K
24GClaims14,893
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#178 of 1,069
Median peer was paid$56K
This provider vs. median6.7×
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 | 1,199 | $37K | |
| 2019 | 1,250 | $41K | |
| 2020 | 852 | $28K | |
| 2021 | 907 | $30K | |
| 2022 | 2,740 | $64K | |
| 2023 | 3,829 | $81K | |
| 2024incomplete | 4,116 | $94K |
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 | 22% | 1,942 | 1,853 | $83K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 2,718 | 2,587 | $70K |
| V2020 | Frames, purchases | 13% | 1,762 | 1,721 | $50K |
| 92015 | Determination of refractive state | 12% | 2,910 | 2,741 | $44K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 895 | 847 | $40K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 9.4% | 848 | 702 | $35K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.7% | 1,649 | 1,613 | $18K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.3% | 362 | 333 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.3% | 944 | 924 | $9K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.3% | 564 | 558 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 77 | 60 | $4K |
| V2025 | Deluxe frame | <1% | 209 | 143 | $3K |
1 more codes
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 13 | $120.02 |
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.