Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Kalamazoo Ophthalmology PC

Kalamazoo Ophthalmology PC was paid $30K by Medicaid between Feb 2019 and Jun 2024, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 77% of everything it billed.

33Billing provider infoKALAMAZOO OPHTHALMOLOGY PC
PORTAGE, MI 49024
33aNPI1467475723assigned 07/26/2006
33bProvider typeOptometrist
28Total paid$30K
24GClaims724
24DCodes billed3
24AFirst – last monthFeb 2019 – Jun 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#231 of 497
Median peer was paid$21K
This provider vs. median1.4×

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$2.0K$4.0K2018201920202021202220232024
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
201941$454.69
202164$2K
202296$3K
2023338$15K
2024incomplete185$10K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 77% 302 296 $23K
92015 Determination of refractive state 14% 383 377 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 8.8% 39 39 $3K

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 officialHIGGINS, STEPHEN (OWNER)