Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MO › Lebanon › NPI 1124002969

Montgomery, Michael

Montgomery, Michael was paid $109K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 25% of everything it billed.

33Billing provider infoMONTGOMERY, MICHAEL
LEBANON, MO 65536
33aNPI1124002969assigned 12/05/2005
33bProvider typeOptometrist
28Total paid$109K
24GClaims6,174
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Optometrist providers in Missouri

Rank by total paid#85 of 547
Median peer was paid$19K
This provider vs. median5.7×

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$2.0K$4.0K$6.0K2018201920202021202220232024
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
20182,650$30K
20191,059$19K
2020287$5K
2021733$16K
2022649$16K
2023478$14K
2024incomplete318$9K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 25% 1,373 1,182 $27K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 22% 404 379 $24K
V2784 Lens, polycarbonate or equal, any index, per lens 22% 1,002 758 $24K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 410 318 $14K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 11% 1,125 548 $12K
92015 Determination of refractive state 7.1% 1,758 1,568 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 102 55 $628.75

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.