Gagnon, Samantha
Gagnon, Samantha was paid $3K by Medicaid between Jan 2018 and Jul 2018, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 36% of everything it billed.
33Billing provider infoGAGNON, SAMANTHA
BRIGHTON, MI 48116
BRIGHTON, MI 48116
33aNPI1184157596assigned 04/04/2017
33bProvider typeOptometrist
28Total paid$3K
24GClaims138
24DCodes billed4
24AFirst – last monthJan 2018 – Jul 2018
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#380 of 497
Median peer was paid$21K
This provider vs. median0.2×
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 | 138 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 36% | 50 | 31 | $1K |
| 92015 | Determination of refractive state | 33% | 60 | 56 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 13 | 13 | $553.15 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 15 | 15 | $434.50 |
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.