Holmes, Michelle
Holmes, Michelle was paid $215K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider infoHOLMES, MICHELLE
GUNTERSVILLE, AL 35976
GUNTERSVILLE, AL 35976
33aNPI1306954458assigned 08/28/2006
33bProvider typeOptometrist
28Total paid$215K
24GClaims14,654
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#103 of 346
Median peer was paid$59K
This provider vs. median3.6×
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 | 1,875 | $22K | |
| 2019 | 1,987 | $27K | |
| 2020 | 1,618 | $25K | |
| 2021 | 2,384 | $35K | |
| 2022 | 2,788 | $39K | |
| 2023 | 2,481 | $40K | |
| 2024incomplete | 1,521 | $26K |
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 | 38% | 1,301 | 1,248 | $82K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 27% | 743 | 698 | $58K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 19% | 2,429 | 2,305 | $40K |
| 92015 | Determination of refractive state | 9.7% | 2,582 | 2,441 | $21K |
| V2020 | Frames, purchases | 3.8% | 2,752 | 2,606 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.7% | 4,812 | 2,314 | $6K |
| 92341 | <1% | 12 | 12 | $216.00 | |
| V2201 | Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens | 0% | 23 | 12 | $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.