Demers, Michael
Demers, Michael was paid $911K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 17% of everything it billed.
33Billing provider infoDEMERS, MICHAEL
CHICAGO, IL 60611
CHICAGO, IL 60611
33aNPI1396029450assigned 10/06/2011
33bProvider typeOptometrist
28Total paid$911K
24GClaims28,468
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Illinois
Rank by total paid#65 of 1,069
Median peer was paid$56K
This provider vs. median16×
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 | 2,182 | $86K | |
| 2019 | 4,935 | $170K | |
| 2020 | 2,671 | $112K | |
| 2021 | 3,828 | $129K | |
| 2022 | 4,697 | $137K | |
| 2023 | 5,985 | $166K | |
| 2024incomplete | 4,170 | $112K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 3,363 | 3,207 | $152K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 3,124 | 3,004 | $139K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 14% | 2,111 | 1,804 | $124K |
| V2025 | Deluxe frame | 12% | 4,393 | 4,006 | $112K |
| 92015 | Determination of refractive state | 9.8% | 5,490 | 5,330 | $90K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.1% | 2,880 | 2,771 | $83K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 8.2% | 1,655 | 1,381 | $74K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.7% | 1,428 | 1,393 | $25K |
| 92310 | 2.4% | 391 | 376 | $22K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 2.2% | 456 | 446 | $20K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.1% | 175 | 154 | $19K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | 1.7% | 177 | 168 | $15K |
7 more codes
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.6% | 314 | $14K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,555 | $9K |
| V2020 | Frames, purchases | <1% | 711 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 167 | $3K |
| V2599 | Contact lens, other type | <1% | 26 | $3K |
| 92250 | <1% | 40 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | $788.40 |
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.