Foster, Michael
Foster, Michael was paid $1.26M by Medicaid between Dec 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 19% of everything it billed.
33Billing provider infoFOSTER, MICHAEL
BROWNSVILLE, TX 78521
BROWNSVILLE, TX 78521
33aNPI1245301902assigned 11/13/2006
33bProvider typeOptometrist
28Total paid$1.26M
24GClaims32,710
24DCodes billed12
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#25 of 1,408
Median peer was paid$30K
This provider vs. median42×
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 | 18 | $789.50 | |
| 2019 | 25 | $1K | |
| 2020 | 1,461 | $55K | |
| 2021 | 9,121 | $361K | |
| 2022 | 9,848 | $401K | |
| 2023 | 8,066 | $304K | |
| 2024incomplete | 4,171 | $142K |
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 | 19% | 3,150 | 3,105 | $240K |
| 92060 | 17% | 4,996 | 4,935 | $215K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 2,155 | 2,133 | $205K |
| V2025 | Deluxe frame | 16% | 4,399 | 4,366 | $197K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 7.7% | 2,383 | 2,343 | $98K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.5% | 3,531 | 3,449 | $82K |
| 92015 | Determination of refractive state | 5.2% | 5,422 | 5,351 | $66K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 4.8% | 1,450 | 1,438 | $61K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.9% | 1,645 | 1,621 | $37K |
| V2020 | Frames, purchases | 2.8% | 2,320 | 2,280 | $36K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | 2.2% | 1,240 | 1,213 | $28K |
| 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% | 19 | 18 | $893.44 |
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.