Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › LA › Monroe › NPI 1407859440

Haynes, Michael

Haynes, Michael was paid $438K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 40% of everything it billed.

33Billing provider infoHAYNES, MICHAEL
MONROE, LA 71201
33aNPI1407859440assigned 05/23/2005
33bProvider typeOptometrist
28Total paid$438K
24GClaims19,002
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Louisiana

Rank by total paid#126 of 442
Median peer was paid$199K
This provider vs. median2.2×

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

$0$10K$20K2018201920202021202220232024
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
20186,256$161K
20195,432$130K
20201,883$42K
20211,660$34K
20221,201$24K
20231,304$23K
2024incomplete1,266$24K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 40% 2,592 2,372 $177K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 18% 955 890 $79K
V2020 Frames, purchases 16% 4,494 4,089 $70K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 10% 3,531 3,322 $45K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.6% 2,447 2,269 $38K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.7% 304 252 $12K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.0% 649 611 $9K
92340 Fitting of spectacles, except for aphakia; monofocal 1.4% 586 501 $6K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 27 26 $795.75
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% 16 15 $589.73
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 18 15 $254.61
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 12 12 $202.65
1 more codes
92015 Determination of refractive state 0% 3,371 $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.