Smith, Michael
Smith, Michael was paid $360K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 35% of everything it billed.
33Billing provider infoSMITH, MICHAEL
DANVILLE, KY 40422
DANVILLE, KY 40422
33aNPI1124059001assigned 07/06/2006
33bProvider typeOptometrist
28Total paid$360K
24GClaims6,803
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#149 of 683
Median peer was paid$123K
This provider vs. median2.9×
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 | 1,129 | $71K | |
| 2019 | 2,556 | $140K | |
| 2020 | 1,665 | $90K | |
| 2021 | 75 | $970.56 | |
| 2022 | 77 | $2K | |
| 2023 | 482 | $21K | |
| 2024incomplete | 819 | $35K |
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 | 35% | 1,867 | 1,846 | $127K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 31% | 1,217 | 1,204 | $112K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 26% | 1,603 | 1,591 | $95K |
| 92015 | Determination of refractive state | 4.2% | 1,268 | 1,256 | $15K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 221 | 195 | $8K |
| 92133 | <1% | 25 | 25 | $962.57 | |
| V2020 | Frames, purchases | <1% | 369 | 368 | $551.25 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 13 | 13 | $147.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 143 | 143 | $130.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 77 | 77 | $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.