Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Detroit › NPI 1013909555

Lee, Robert

Lee, Robert was paid $296K by Medicaid between Jan 2018 and Oct 2021, across 11 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 23% of everything it billed.

33Billing provider infoLEE, ROBERT
DETROIT, MI 48205
33aNPI1013909555assigned 08/19/2005
33bProvider typeOptometrist
28Total paid$296K
24GClaims11,072
24DCodes billed11
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#74 of 497
Median peer was paid$21K
This provider vs. median14×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20183,875$104K
20193,652$105K
20201,752$45K
20211,793$42K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 23% 1,491 1,488 $67K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 19% 834 832 $58K
V2020 Frames, purchases 18% 2,202 2,199 $53K
92340 Fitting of spectacles, except for aphakia; monofocal 17% 2,393 2,392 $49K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.1% 1,349 1,126 $24K
92341 7.0% 899 899 $21K
92015 Determination of refractive state 3.7% 1,185 1,185 $11K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.3% 460 396 $7K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.3% 189 155 $4K
S0620 Routine ophthalmological examination including refraction; new patient <1% 55 55 $2K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 15 15 $1K

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.