Younes, Michael
Younes, Michael was paid $40K by Medicaid between Mar 2018 and May 2019, across 8 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 32% of everything it billed.
33Billing provider infoYOUNES, MICHAEL
EL CAJON, CA 92020
EL CAJON, CA 92020
33aNPI1508954652assigned 10/11/2006
33bProvider typeOptometrist
28Total paid$40K
24GClaims1,069
24DCodes billed8
24AFirst – last monthMar 2018 – May 2019
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#782 of 1,899
Median peer was paid$23K
This provider vs. median1.8×
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 | 798 | $31K | |
| 2019 | 271 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 32% | 211 | 209 | $13K |
| V2020 | Frames, purchases | 18% | 222 | 222 | $7K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 14% | 110 | 109 | $5K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 242 | 242 | $5K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 11% | 93 | 93 | $4K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.5% | 63 | 57 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.2% | 34 | 31 | $2K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 94 | 94 | $819.97 |
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.