Havrilla, Michael
Havrilla, Michael was paid $186K by Medicaid between Jul 2020 and Dec 2024, across 11 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 30% of everything it billed.
33Billing provider infoHAVRILLA, MICHAEL
KINGSTON, PA 18704
KINGSTON, PA 18704
33aNPI1336109503assigned 03/23/2006
33bProvider typeOptometrist
28Total paid$186K
24GClaims8,312
24DCodes billed11
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#144 of 983
Median peer was paid$20K
This provider vs. median9.2×
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 | |
|---|---|---|---|
| 2020 | 325 | $7K | |
| 2021 | 2,030 | $45K | |
| 2022 | 2,026 | $44K | |
| 2023 | 1,739 | $36K | |
| 2024incomplete | 2,192 | $55K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 30% | 1,831 | 877 | $56K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 872 | 863 | $37K |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 17% | 708 | 286 | $32K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 1,293 | 640 | $23K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.9% | 385 | 368 | $13K |
| V2020 | Frames, purchases | 5.2% | 1,339 | 1,198 | $10K |
| 92015 | Determination of refractive state | 4.7% | 1,569 | 1,535 | $9K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.0% | 250 | 119 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 40 | 40 | $2K |
| 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% | 13 | 12 | $388.50 |
| 92002 | <1% | 12 | 12 | $340.08 |
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.