Michael J Gousy, Od LLC
Michael J Gousy, Od LLC was paid $134K by Medicaid between Jan 2018 and Nov 2024, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoMICHAEL J GOUSY, OD LLC
WESTFIELD, MA 01085
WESTFIELD, MA 01085
33aNPI1396886479assigned 02/09/2007
33bProvider typeOptometrist
28Total paid$134K
24GClaims5,305
24DCodes billed4
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#122 of 629
Median peer was paid$15K
This provider vs. median8.9×
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 | 1,266 | $34K | |
| 2019 | 1,021 | $27K | |
| 2020 | 652 | $15K | |
| 2021 | 803 | $20K | |
| 2022 | 703 | $18K | |
| 2023 | 557 | $14K | |
| 2024incomplete | 303 | $6K |
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 | 30% | 709 | 707 | $41K |
| 92015 | Determination of refractive state | 29% | 3,091 | 3,083 | $39K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 902 | 899 | $30K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 18% | 603 | 602 | $24K |
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 officialGOUSY, MICHAEL (OWNER)