Mourelatos, Antonia
Mourelatos, Antonia was paid $39K by Medicaid between Jan 2018 and Jul 2018, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoMOURELATOS, ANTONIA
LAKE ZURICH, IL 60047
LAKE ZURICH, IL 60047
33aNPI1992854269assigned 01/09/2007
33bProvider typeOptometrist
28Total paid$39K
24GClaims1,090
24DCodes billed12
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#601 of 1,069
Median peer was paid$56K
This provider vs. median0.7×
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 | 1,090 | $39K |
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 | 29% | 254 | 203 | $11K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21% | 172 | 132 | $8K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 9.8% | 25 | 15 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.7% | 75 | 64 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.2% | 119 | 118 | $4K |
| 92015 | Determination of refractive state | 8.0% | 159 | 156 | $3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 5.5% | 47 | 47 | $2K |
| V2025 | Deluxe frame | 4.9% | 114 | 78 | $2K |
| V2020 | Frames, purchases | 1.7% | 50 | 39 | $653.60 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.4% | 12 | 12 | $540.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 43 | 32 | $0.00 |
| V2760 | Scratch resistant coating, per lens | 0% | 20 | 16 | $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.