Hammer, Michael
Hammer, Michael was paid $58K by Medicaid between Jan 2018 and Jun 2021, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 42% of everything it billed.
33Billing provider infoHAMMER, MICHAEL
DEERFIELD, IL 60015
DEERFIELD, IL 60015
33aNPI1013967181assigned 05/11/2006
33bProvider typeOptometrist
28Total paid$58K
24GClaims1,176
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#529 of 1,069
Median peer was paid$56K
This provider vs. median1.0×
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 | 577 | $31K | |
| 2019 | 231 | $14K | |
| 2020 | 255 | $9K | |
| 2021 | 113 | $5K |
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 | 42% | 577 | 577 | $24K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 31% | 221 | 221 | $18K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 159 | 158 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10.0% | 165 | 165 | $6K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 28 | 28 | $1K |
| 92015 | Determination of refractive state | <1% | 26 | 26 | $479.09 |
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.