Benetatos, Michael
Benetatos, Michael was paid $2K by Medicaid between Jan 2018 and Aug 2023, across 8 billing codes. Its largest line is 92225, — 53% of everything it billed.
33Billing provider infoBENETATOS, MICHAEL
HASKELL, NJ 07420
HASKELL, NJ 07420
33aNPI1013085521assigned 12/01/2006
33bProvider typeOptometrist
28Total paid$2K
24GClaims615
24DCodes billed8
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#306 of 599
Median peer was paid$2K
This provider vs. median0.9×
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 | 454 | $2K | |
| 2019 | 123 | $0.00 | |
| 2021 | 12 | $0.00 | |
| 2022 | 12 | $0.00 | |
| 2023 | 14 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92225 | 53% | 33 | 17 | $891.68 | |
| 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 | 34% | 12 | 12 | $570.00 |
| 92250 | 14% | 17 | 17 | $235.06 | |
| V2020 | Frames, purchases | 0% | 326 | 316 | $0.00 |
| 92015 | Determination of refractive state | 0% | 14 | 14 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 101 | 101 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 67 | 54 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 45 | 24 | $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.