Traverse City Eye Consultants P C
Traverse City Eye Consultants P C was paid $75K by Medicaid between Jan 2018 and Oct 2021, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 58% of everything it billed.
33Billing provider infoTRAVERSE CITY EYE CONSULTANTS P C
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
33aNPI1316009368assigned 12/15/2006
33bProvider typeOptometrist
28Total paid$75K
24GClaims2,428
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#166 of 497
Median peer was paid$21K
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 | 592 | $19K | |
| 2019 | 427 | $13K | |
| 2020 | 617 | $19K | |
| 2021 | 792 | $25K |
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 | 58% | 850 | 832 | $44K |
| 92015 | Determination of refractive state | 16% | 1,191 | 1,181 | $12K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 113 | 113 | $8K |
| 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 | 8.3% | 84 | 82 | $6K |
| 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 | 3.1% | 39 | 34 | $2K |
| 92134 | 1.9% | 121 | 119 | $1K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 15 | 13 | $691.49 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 15 | 13 | $659.34 |
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 officialGUM, KENNETH (DOCTOR)