Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Dearborn › NPI 1386731511

Michael Younes Od PC

Michael Younes Od PC was paid $523K by Medicaid between Jan 2018 and May 2019, across 21 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 19% of everything it billed.

33Billing provider infoMICHAEL YOUNES OD PC
DEARBORN, MI 48126
33aNPI1386731511assigned 10/09/2006
33bProvider typeOptometrist
28Total paid$523K
24GClaims15,899
24DCodes billed21
24AFirst – last monthJan 2018 – May 2019
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#47 of 497
Median peer was paid$21K
This provider vs. median25×

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$20K$40K$60K2018201920202021202220232024
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
201811,558$382K
20194,341$141K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S0621 Routine ophthalmological examination including refraction; established patient 19% 2,028 2,012 $97K
S0620 Routine ophthalmological examination including refraction; new patient 16% 1,798 1,795 $82K
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 15% 1,357 1,348 $81K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 3,230 3,219 $66K
V2020 Frames, purchases 9.8% 1,677 1,674 $51K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8.8% 1,136 1,074 $46K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 5.7% 503 503 $30K
92083 3.6% 525 525 $19K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 3.1% 1,183 1,178 $16K
92250 2.7% 436 436 $14K
92341 1.5% 337 337 $8K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.1% 478 475 $6K
9 more codes
92133 <1% 116 $2K
92020 <1% 86 $1K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 61 $959.21
92015 Determination of refractive state <1% 80 $887.20
76514 <1% 67 $546.17
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 16 $239.78
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 14 $193.25
V2756 Eye glass case <1% 585 $132.57
2022F 0% 186 $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.

From NPPES

Who's on the registration

Authorized officialYOUNES, MICHAEL YOUNES (PRESIDENT)