Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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B. Michael Southam, Od, PC

B. Michael Southam, Od, PC was paid $234K by Medicaid between Jul 2019 and Dec 2024, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.

33Billing provider infoB. MICHAEL SOUTHAM, OD, PC
RENO, NV 89509
33aNPI1235550146assigned 12/18/2013
33bProvider typeOptometrist
28Total paid$234K
24GClaims4,143
24DCodes billed11
24AFirst – last monthJul 2019 – Dec 2024
Compared with peers

Next to other Optometrist providers in Nevada

Rank by total paid#63 of 373
Median peer was paid$39K
This provider vs. median5.9×

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$5.0K$10K$15K2018201920202021202220232024
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
2019325$22K
2020130$9K
2021122$7K
2022977$59K
20231,100$61K
2024incomplete1,489$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 32% 636 598 $75K
V2020 Frames, purchases 29% 936 900 $68K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 9.6% 212 208 $22K
92340 Fitting of spectacles, except for aphakia; monofocal 8.5% 649 623 $20K
V2784 Lens, polycarbonate or equal, any index, per lens 5.6% 304 205 $13K
92015 Determination of refractive state 5.3% 755 721 $12K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.9% 251 152 $9K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.8% 191 163 $7K
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 2.1% 109 107 $5K
92081 <1% 68 67 $2K
92134 <1% 32 31 $943.83

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 officialSOUTHAM, BRANT (OWNER/PRESIDENT)