Grand Traverse Ophthalmology Clinic PC
Grand Traverse Ophthalmology Clinic PC was paid $1.83M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoGRAND TRAVERSE OPHTHALMOLOGY CLINIC PC
TRAVERSE CITY, MI 49686
TRAVERSE CITY, MI 49686
33aNPI1265426514assigned 09/01/2005
33bProvider typeOptometrist
28Total paid$1.83M
24GClaims39,574
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#18 of 497
Median peer was paid$21K
This provider vs. median87×
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 | 5,291 | $228K | |
| 2019 | 4,941 | $209K | |
| 2020 | 4,560 | $196K | |
| 2021 | 6,410 | $310K | |
| 2022 | 6,320 | $287K | |
| 2023 | 6,763 | $315K | |
| 2024incomplete | 5,289 | $286K |
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 | 29% | 8,059 | 8,028 | $536K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 4,677 | 4,667 | $384K |
| 92060 | 11% | 5,602 | 5,588 | $205K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 2,367 | 2,189 | $108K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 5.8% | 2,123 | 2,122 | $106K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 5.6% | 2,037 | 2,036 | $103K |
| 92015 | Determination of refractive state | 5.6% | 9,224 | 9,121 | $102K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 1,762 | 1,702 | $85K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 3.2% | 230 | 195 | $58K |
| 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 | 2.7% | 723 | 683 | $49K |
| 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 | 1.9% | 380 | 380 | $34K |
| 92083 | 1.3% | 726 | 724 | $24K |
8 more codes
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 officialMUSSER, DEANNE (BILLING MANAGER)