Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Philip R. Mill, Od and Michael D. Sutton, Od INC.

Philip R. Mill, Od and Michael D. Sutton, Od INC. was paid $420K by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 37% of everything it billed.

33Billing provider infoPHILIP R. MILL, OD AND MICHAEL D. SUTTON, OD INC.
PITTSBURG, CA 94565
33aNPI1053713552assigned 09/16/2014
33bProvider typeOptometrist
28Total paid$420K
24GClaims17,513
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#169 of 1,899
Median peer was paid$23K
This provider vs. median19×

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$10K2018201920202021202220232024
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
20182,569$64K
20192,497$62K
20202,210$53K
20212,548$62K
20222,567$60K
20232,534$58K
2024incomplete2,588$62K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 37% 3,200 3,194 $154K
V2020 Frames, purchases 21% 4,200 4,186 $88K
92340 Fitting of spectacles, except for aphakia; monofocal 17% 3,390 3,382 $72K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 1,359 1,350 $52K
92015 Determination of refractive state 9.0% 4,780 4,774 $38K
92341 4.1% 584 583 $17K

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 officialSUTTON, MICHAEL (OPTOMETRIST)
Same official

Other billing entities under SUTTON, MICHAEL

Full network →
ProviderLocationPaid
Memorial Health Care System INC.Chattanooga, TN$4.08M
Memorial Health Care System INC.Hixson, TN$2.38M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.