Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › IA › Red Oak › NPI 1225041890

Michael J Portz Od PC

Michael J Portz Od PC was paid $6K by Medicaid between Feb 2020 and May 2023, across 5 billing codes. Its largest line is 92015, Determination of refractive state — 44% of everything it billed.

33Billing provider infoMICHAEL J PORTZ OD PC
RED OAK, IA 51566
33aNPI1225041890assigned 08/14/2006
33bProvider typeOptometrist
28Total paid$6K
24GClaims491
24DCodes billed5
24AFirst – last monthFeb 2020 – May 2023
Compared with peers

Next to other Optometrist providers in Iowa

Rank by total paid#386 of 521
Median peer was paid$28K
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

$0$500$1.0K$1.5K2018201920202021202220232024
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
YearClaimsPaid
2020113$2K
2021184$2K
2022117$1K
202377$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 44% 334 228 $3K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 43% 75 50 $3K
V2020 Frames, purchases 9.8% 41 40 $601.20
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 3.3% 28 13 $204.16
S0621 Routine ophthalmological examination including refraction; established patient 0% 13 13 $0.00

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.

From NPPES

Who's on the registration

Authorized officialPORTZ, MICHAEL (PRESIDENT)