Physician
Blair, Michael
Blair, Michael was paid $2.60M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is J0178, Injection, aflibercept, 1 mg — 57% of everything it billed.
33Billing provider infoBLAIR, MICHAEL
DES PLAINES, IL 60016
DES PLAINES, IL 60016
33aNPI1285645549assigned 08/11/2006
33bProvider typeOphthalmology Physician
28Total paid$2.60M
24GClaims19,920
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Illinois
Rank by total paid#3 of 431
Median peer was paid$34K
This provider vs. median76×
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 | 2,240 | $122K | |
| 2019 | 2,814 | $189K | |
| 2020 | 2,780 | $195K | |
| 2021 | 2,910 | $351K | |
| 2022 | 3,440 | $667K | |
| 2023 | 3,540 | $745K | |
| 2024incomplete | 2,196 | $330K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 57% | 1,262 | 1,093 | $1.48M |
| 67028 | Intravitreal injection of a pharmacologic agent | 26% | 3,403 | 2,618 | $672K |
| 92134 | 6.0% | 7,742 | 6,440 | $155K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 2,964 | 2,618 | $89K |
| J9035 | Injection, bevacizumab, 10 mg | 2.9% | 1,141 | 784 | $75K |
| 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 | 2.3% | 1,499 | 1,320 | $60K |
| 92250 | <1% | 640 | 565 | $23K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 443 | 395 | $13K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 517 | 447 | $10K |
| 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% | 172 | 160 | $10K |
| 92226 | <1% | 95 | 67 | $5K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | <1% | 26 | 25 | $647.40 |
1 more codes
| 92225 | <1% | 16 | $579.50 |
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.