O'neill, Michael
O'neill, Michael was paid $100K by Medicaid between Jan 2018 and Nov 2024, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoO'NEILL, MICHAEL
WARREN, PA 16365
WARREN, PA 16365
33aNPI1215317177assigned 06/05/2015
33bProvider typeOptometrist
28Total paid$100K
24GClaims6,307
24DCodes billed15
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#234 of 983
Median peer was paid$20K
This provider vs. median5.0×
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 | 310 | $525.03 | |
| 2019 | 88 | $0.00 | |
| 2020 | 354 | $4K | |
| 2021 | 1,322 | $14K | |
| 2022 | 1,289 | $22K | |
| 2023 | 1,589 | $30K | |
| 2024incomplete | 1,355 | $29K |
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 | 43% | 643 | 633 | $44K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 41% | 698 | 692 | $41K |
| V2020 | Frames, purchases | 8.5% | 403 | 399 | $8K |
| 92341 | 2.1% | 108 | 107 | $2K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.1% | 268 | 268 | $2K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 1.3% | 88 | 88 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 28 | 28 | $646.00 |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 14 | 13 | $473.91 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 12 | 12 | $360.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 1,167 | 1,157 | $0.00 |
| 4040F | 0% | 701 | 695 | $0.00 | |
| 92015 | Determination of refractive state | 0% | 1,175 | 1,161 | $0.00 |
3 more codes
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.