Fishbaugh, Michael
Fishbaugh, Michael was paid $1.17M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 22% of everything it billed.
33Billing provider infoFISHBAUGH, MICHAEL
ST. HENRY, OH 45883
ST. HENRY, OH 45883
33aNPI1225036197assigned 07/13/2005
33bProvider typeOptometrist
28Total paid$1.17M
24GClaims48,641
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#20 of 1,098
Median peer was paid$41K
This provider vs. median29×
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 | 10,140 | $249K | |
| 2019 | 8,982 | $204K | |
| 2020 | 7,171 | $162K | |
| 2021 | 8,946 | $219K | |
| 2022 | 7,725 | $193K | |
| 2023 | 3,097 | $80K | |
| 2024incomplete | 2,580 | $66K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 22% | 9,001 | 8,689 | $255K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 21% | 10,104 | 9,776 | $249K |
| V2020 | Frames, purchases | 19% | 10,705 | 10,349 | $226K |
| 92015 | Determination of refractive state | 12% | 6,802 | 6,647 | $145K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 10% | 2,686 | 2,626 | $120K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.1% | 6,043 | 5,858 | $106K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.5% | 1,927 | 1,872 | $30K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 373 | 360 | $17K |
| 92341 | 1.3% | 545 | 529 | $15K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 261 | 257 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 42 | 40 | $2K |
| 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% | 16 | 16 | $1K |
4 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 70 | $984.00 |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | <1% | 13 | $600.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 38 | $528.00 |
| 92285 | <1% | 15 | $239.70 |
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.