Essex, Michelle
Essex, Michelle was paid $152K by Medicaid between Jan 2018 and Mar 2021, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 85% of everything it billed.
33Billing provider infoESSEX, MICHELLE
DENVER, CO 80239
DENVER, CO 80239
33aNPI1528060795assigned 06/01/2005
33bProvider typeOptometrist
28Total paid$152K
24GClaims1,373
24DCodes billed4
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Optometrist providers in Colorado
Rank by total paid#155 of 425
Median peer was paid$49K
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 | 383 | $46K | |
| 2019 | 354 | $41K | |
| 2020 | 530 | $54K | |
| 2021 | 106 | $11K |
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 | 85% | 1,125 | 1,093 | $128K |
| 92310 | 11% | 120 | 118 | $16K | |
| 92060 | 3.8% | 115 | 112 | $6K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 13 | 13 | $1K |
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.