Vidal, J Michael
Vidal, J Michael was paid $7K by Medicaid between Jan 2018 and Aug 2020, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoVIDAL, J MICHAEL
LA MESA, CA 91942
LA MESA, CA 91942
33aNPI1457311128assigned 03/25/2006
33bProvider typeOptometrist
28Total paid$7K
24GClaims1,045
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2020
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#1,240 of 1,899
Median peer was paid$23K
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 | |
|---|---|---|---|
| 2018 | 339 | $2K | |
| 2019 | 382 | $2K | |
| 2020 | 324 | $3K |
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% | 175 | 175 | $2K |
| 92015 | Determination of refractive state | 22% | 509 | 509 | $2K |
| V2020 | Frames, purchases | 21% | 161 | 161 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 126 | 126 | $958.95 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 74 | 74 | $953.60 |
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.