Kosir, Michael
Kosir, Michael was paid $34K by Medicaid between Jun 2018 and Jul 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.
33Billing provider infoKOSIR, MICHAEL
MCKINNEY, TX 75070
MCKINNEY, TX 75070
33aNPI1174858492assigned 10/04/2009
33bProvider typeOptometrist
28Total paid$34K
24GClaims814
24DCodes billed5
24AFirst – last monthJun 2018 – Jul 2020
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#675 of 1,408
Median peer was paid$30K
This provider vs. median1.1×
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 | 410 | $10K | |
| 2019 | 148 | $8K | |
| 2020 | 256 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 35% | 120 | 89 | $12K |
| V2020 | Frames, purchases | 23% | 240 | 202 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 68 | 65 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 123 | 117 | $5K |
| 92015 | Determination of refractive state | 9.9% | 263 | 220 | $3K |
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.