Wertelet, Michelle
Wertelet, Michelle was paid $62K by Medicaid between Mar 2018 and Feb 2022, across 10 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 22% of everything it billed.
33Billing provider infoWERTELET, MICHELLE
MOON TOWNSHIP, PA 15108
MOON TOWNSHIP, PA 15108
33aNPI1477577369assigned 07/26/2006
33bProvider typeOptometrist
28Total paid$62K
24GClaims1,980
24DCodes billed10
24AFirst – last monthMar 2018 – Feb 2022
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#315 of 983
Median peer was paid$20K
This provider vs. median3.1×
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 | 41 | $2K | |
| 2020 | 216 | $5K | |
| 2021 | 1,459 | $47K | |
| 2022 | 264 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 332 | 330 | $14K |
| 92060 | 22% | 340 | 337 | $14K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 244 | 238 | $14K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 118 | 118 | $8K |
| 92015 | Determination of refractive state | 10% | 727 | 719 | $7K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 28 | 28 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 2.5% | 19 | 18 | $2K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.2% | 14 | 14 | $1K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 2.0% | 41 | 41 | $1K |
| 99072 | <1% | 117 | 117 | $572.25 |
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.