Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kalaher, Michael

Kalaher, Michael was paid $336K by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is 92015, Determination of refractive state — 25% of everything it billed.

33Billing provider infoKALAHER, MICHAEL
MURPHYSBORO, IL 62966
33aNPI1326099524assigned 05/12/2006
33bProvider typeOptometrist
28Total paid$336K
24GClaims14,193
24DCodes billed14
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Illinois

Rank by total paid#204 of 1,069
Median peer was paid$56K
This provider vs. median6.0×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
20182,195$49K
20194,211$100K
20203,326$81K
20212,064$49K
20221,111$26K
2023648$15K
2024incomplete638$15K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 25% 4,701 4,362 $83K
92340 Fitting of spectacles, except for aphakia; monofocal 24% 2,738 2,518 $81K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 23% 3,795 3,316 $79K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 15% 1,640 1,511 $52K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 6.5% 501 434 $22K
92341 2.9% 328 321 $10K
V2020 Frames, purchases 2.1% 292 266 $7K
92083 <1% 55 53 $2K
92133 <1% 71 67 $1K
92002 <1% 18 14 $468.35
92134 <1% 12 12 $78.00
V2784 Lens, polycarbonate or equal, any index, per lens <1% 13 12 $65.00
2 more codes
2023F 0% 15 $0.00
3072F 0% 14 $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.