Michael A. Fishbaugh JR. O.D. INC.
Michael A. Fishbaugh JR. O.D. INC. was paid $1.52M by Medicaid between Jan 2018 and Nov 2024, across 47 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 25% of everything it billed.
33Billing provider infoMICHAEL A. FISHBAUGH JR. O.D. INC.
SAINT HENRY, OH 45883
SAINT HENRY, OH 45883
33aNPI1285814558assigned 11/05/2007
33bProvider typeOptometrist
28Total paid$1.52M
24GClaims61,586
24DCodes billed47
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#15 of 1,098
Median peer was paid$41K
This provider vs. median37×
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 | 11,063 | $201K | |
| 2019 | 13,075 | $285K | |
| 2020 | 9,916 | $267K | |
| 2021 | 8,151 | $214K | |
| 2022 | 8,399 | $226K | |
| 2023 | 8,294 | $247K | |
| 2024incomplete | 2,688 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 7,135 | 6,505 | $387K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 6,093 | 5,635 | $227K |
| 92015 | Determination of refractive state | 13% | 11,415 | 10,285 | $193K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 6.5% | 3,905 | 3,734 | $99K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.1% | 2,690 | 2,516 | $93K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.5% | 3,033 | 2,899 | $84K |
| V2020 | Frames, purchases | 5.3% | 3,513 | 3,380 | $80K |
| 92083 | 4.9% | 3,973 | 3,659 | $75K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.6% | 1,288 | 1,219 | $70K |
| 92250 | 3.0% | 2,059 | 1,886 | $46K | |
| 92285 | 2.2% | 2,911 | 2,556 | $33K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 1,665 | 1,597 | $32K |
35 more codes
| 92341 | 2.0% | 1,297 | $31K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.4% | 520 | $21K |
| 83861 | <1% | 1,081 | $11K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 125 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 401 | $7K |
| 83516 | <1% | 991 | $6K | |
| 92020 | <1% | 580 | $4K | |
| 92284 | <1% | 199 | $3K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 648 | $2K |
| 92133 | <1% | 228 | $2K | |
| 92275 | <1% | 72 | $2K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 215 | $1K |
| 92283 | <1% | 113 | $1K | |
| 95930 | <1% | 52 | $947.10 | |
| 92273 | <1% | 30 | $738.74 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 29 | $297.60 |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 18 | $291.06 |
| G8732 | No documentation of pain assessment, reason not given | 0% | 783 | $0.00 |
| 1036F | 0% | 690 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 376 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 118 | $0.00 |
| 3284F | 0% | 23 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 17 | $0.00 |
| 5010F | 0% | 34 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,440 | $0.00 |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 29 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 96 | $0.00 |
| G8730 | Pain assessment documented as positive using a standardized tool and a follow-up plan is documented | 0% | 380 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 94 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 54 | $0.00 |
| 4004F | 0% | 54 | $0.00 | |
| 2027F | 0% | 21 | $0.00 | |
| 2022F | 0% | 50 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 33 | $0.00 |
| 0509T | 0% | 15 | $0.00 |
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 officialFISHBAUGH, MICHAEL (OPTOMETRIST)