Physician
Traverse City Ophthalmology PLLC
Traverse City Ophthalmology PLLC was paid $86K by Medicaid between Nov 2021 and Oct 2024, across 10 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 43% of everything it billed.
33Billing provider infoTRAVERSE CITY OPHTHALMOLOGY PLLC
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1225616279assigned 03/31/2021
33bProvider typeOphthalmology Physician
28Total paid$86K
24GClaims2,885
24DCodes billed10
24AFirst – last monthNov 2021 – Oct 2024
Compared with peers
Next to other Ophthalmology Physician providers in Michigan
Rank by total paid#47 of 106
Median peer was paid$51K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2021 | 123 | $4K | |
| 2022 | 1,068 | $30K | |
| 2023 | 1,063 | $32K | |
| 2024incomplete | 631 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 43% | 716 | 716 | $37K |
| 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 | 19% | 367 | 357 | $17K |
| 92015 | Determination of refractive state | 12% | 1,009 | 1,005 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.6% | 159 | 152 | $7K |
| 92134 | 5.6% | 432 | 426 | $5K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.4% | 70 | 70 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.3% | 66 | 66 | $5K |
| 92083 | <1% | 26 | 26 | $741.46 | |
| 92133 | <1% | 24 | 24 | $394.55 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 16 | 15 | $60.61 |
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 officialMCCAHERTY, JOSH (PRACTICE MANAGER)