Henry, Michael

Henry, Michael was paid $14K by Medicaid between Jul 2020 and Jun 2021, across 5 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 78% of everything it billed.

33Billing provider infoHENRY, MICHAEL
TUCSON, AZ 85704

33aNPI1346694163assigned 04/18/2016

33bProvider typeOphthalmology Physician

28Total paid$14K

24GClaims276

24DCodes billed5

24AFirst – last monthJul 2020 – Jun 2021

Compared with peers

Next to other Ophthalmology Physician providers in Arizona

Rank by total paid#54 of 78

Median peer was paid$44K

This provider vs. median0.3×

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	114	$10K
2021	162	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	78%	206	181	$11K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	11%	15	13	$2K
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	5.4%	19	19	$769.87
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	4.3%	18	18	$615.84
92015	Determination of refractive state	2.1%	18	18	$300.39

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.