Rotheker, Michael
Rotheker, Michael was paid $5K by Medicaid between Oct 2018 and Mar 2020, across 3 billing codes. Its largest line is V2020, Frames, purchases — 58% of everything it billed.
33Billing provider infoROTHEKER, MICHAEL
SOUTH BEND, IN 46635
SOUTH BEND, IN 46635
33aNPI1316935208assigned 10/13/2005
33bProvider typeOptometrist
28Total paid$5K
24GClaims172
24DCodes billed3
24AFirst – last monthOct 2018 – Mar 2020
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#504 of 743
Median peer was paid$22K
This provider vs. median0.2×
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 | 43 | $907.46 | |
| 2019 | 116 | $4K | |
| 2020 | 13 | $190.71 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 58% | 81 | 55 | $3K |
| V2755 | U-v lens, per lens | 38% | 78 | 52 | $2K |
| 92015 | Determination of refractive state | 3.8% | 13 | 13 | $190.71 |
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.