Borgman, Kelly
Borgman, Kelly was paid $406K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.
33Billing provider infoBORGMAN, KELLY
HOLLAND, MI 49423
HOLLAND, MI 49423
33aNPI1063759678assigned 01/16/2013
33bProvider typeOptometrist
28Total paid$406K
24GClaims9,109
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#59 of 497
Median peer was paid$21K
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
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 | 1,078 | $63K | |
| 2019 | 1,308 | $79K | |
| 2020 | 1,348 | $72K | |
| 2021 | 2,048 | $84K | |
| 2022 | 1,388 | $46K | |
| 2023 | 1,236 | $41K | |
| 2024incomplete | 703 | $21K |
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 | 46% | 2,751 | 2,692 | $187K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 1,518 | 1,467 | $138K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 455 | 433 | $19K |
| 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 | 3.7% | 263 | 246 | $15K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.6% | 350 | 336 | $11K |
| V2020 | Frames, purchases | 2.3% | 342 | 327 | $9K |
| 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 | 2.1% | 76 | 76 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.9% | 340 | 324 | $8K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.3% | 192 | 168 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 85 | 85 | $4K |
| 92060 | <1% | 65 | 65 | $3K | |
| 92015 | Determination of refractive state | <1% | 541 | 528 | $525.72 |
3 more codes
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.