Santos, Michael
Santos, Michael was paid $154K by Medicaid between Mar 2018 and Nov 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 23% of everything it billed.
33Billing provider infoSANTOS, MICHAEL
CUMBERLAND, RI 02864
CUMBERLAND, RI 02864
33aNPI1124474317assigned 05/06/2016
33bProvider typeOptometrist
28Total paid$154K
24GClaims5,666
24DCodes billed9
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#40 of 209
Median peer was paid$24K
This provider vs. median6.5×
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 | 756 | $21K | |
| 2019 | 112 | $3K | |
| 2020 | 579 | $14K | |
| 2021 | 830 | $21K | |
| 2022 | 724 | $19K | |
| 2023 | 1,329 | $37K | |
| 2024incomplete | 1,336 | $38K |
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 | 23% | 863 | 820 | $36K |
| 92015 | Determination of refractive state | 15% | 1,189 | 1,080 | $23K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 423 | 393 | $22K |
| V2020 | Frames, purchases | 14% | 1,216 | 1,192 | $21K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 14% | 512 | 497 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 1,000 | 968 | $17K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.5% | 86 | 85 | $5K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.3% | 293 | 287 | $5K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 2.5% | 84 | 84 | $4K |
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.