Venus, Michael
Venus, Michael was paid $151K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 55% of everything it billed.
33Billing provider infoVENUS, MICHAEL
CHESTER, PA 19013
CHESTER, PA 19013
33aNPI1033215124assigned 09/15/2006
33bProvider typeOptometrist
28Total paid$151K
24GClaims15,805
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#173 of 983
Median peer was paid$20K
This provider vs. median7.5×
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 | 2,123 | $24K | |
| 2019 | 2,230 | $27K | |
| 2020 | 1,830 | $19K | |
| 2021 | 2,102 | $20K | |
| 2022 | 2,393 | $18K | |
| 2023 | 2,698 | $23K | |
| 2024incomplete | 2,429 | $20K |
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 | 55% | 5,613 | 5,527 | $83K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 5,465 | 5,407 | $57K |
| 92015 | Determination of refractive state | 7.4% | 3,082 | 2,975 | $11K |
| 2022F | 0% | 173 | 167 | $0.00 | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 130 | 130 | $0.00 |
| 3072F | 0% | 1,177 | 1,093 | $0.00 | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 151 | 151 | $0.00 |
| 2023F | 0% | 14 | 14 | $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.