Michael a Benetatos Od LLC
Michael a Benetatos Od LLC was paid $78K by Medicaid between Aug 2018 and Nov 2024, across 16 billing codes. Its largest line is 92250, — 31% of everything it billed.
33Billing provider infoMICHAEL A BENETATOS OD LLC
HASKELL, NJ 07420
HASKELL, NJ 07420
33aNPI1033386222assigned 05/15/2008
33bProvider typeOptometrist
28Total paid$78K
24GClaims6,298
24DCodes billed16
24AFirst – last monthAug 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#117 of 599
Median peer was paid$2K
This provider vs. median43×
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 | 13 | $83.50 | |
| 2019 | 365 | $5K | |
| 2020 | 755 | $11K | |
| 2021 | 657 | $13K | |
| 2022 | 1,212 | $13K | |
| 2023 | 1,713 | $20K | |
| 2024incomplete | 1,583 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92250 | 31% | 774 | 748 | $24K | |
| 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 | 19% | 573 | 552 | $15K |
| 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 | 18% | 413 | 404 | $14K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 12% | 971 | 966 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.7% | 242 | 198 | $6K |
| 92083 | 7.5% | 389 | 373 | $6K | |
| 92225 | 2.6% | 110 | 54 | $2K | |
| 92015 | Determination of refractive state | <1% | 706 | 702 | $600.60 |
| 76514 | <1% | 33 | 33 | $293.22 | |
| 92145 | <1% | 28 | 26 | $164.67 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 15 | 15 | $100.00 |
| V2020 | Frames, purchases | <1% | 933 | 924 | $40.00 |
4 more codes
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 30 | $0.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 0% | 768 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 301 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 12 | $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.
From NPPES
Who's on the registration
Authorized officialBENETATOS, MICHAEL (OPERATING MANAGER)