Michigan Eye Care Provider PLLC
Michigan Eye Care Provider PLLC was paid $2.12M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 66984, Extracapsular cataract removal with insertion of intraocular lens prosthesis — 18% of everything it billed.
33Billing provider infoMICHIGAN EYE CARE PROVIDER PLLC
FRASER, MI 48026
FRASER, MI 48026
33aNPI1598151318assigned 04/08/2015
33bProvider typeOptometrist
28Total paid$2.12M
24GClaims40,271
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#15 of 497
Median peer was paid$21K
This provider vs. median101×
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 | 3,215 | $151K | |
| 2019 | 3,337 | $173K | |
| 2020 | 3,507 | $174K | |
| 2021 | 5,920 | $307K | |
| 2022 | 7,165 | $375K | |
| 2023 | 8,870 | $473K | |
| 2024incomplete | 8,257 | $469K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 18% | 1,365 | 1,072 | $380K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 5,069 | 4,634 | $254K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 3,041 | 3,025 | $249K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 3,784 | 3,730 | $243K |
| 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 | 9.4% | 2,144 | 2,138 | $200K |
| 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 | 8.6% | 2,687 | 2,645 | $183K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 4.8% | 1,633 | 1,625 | $103K |
| 92134 | 4.4% | 4,461 | 4,370 | $94K | |
| 92083 | 4.1% | 2,550 | 2,522 | $87K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.4% | 1,625 | 1,497 | $72K |
| 92250 | 2.9% | 2,937 | 2,873 | $62K | |
| 92133 | 2.7% | 2,949 | 2,928 | $57K |
18 more codes
| 92136 | 1.9% | 1,710 | $40K | |
| 67028 | Intravitreal injection of a pharmacologic agent | 1.7% | 680 | $36K |
| 92060 | <1% | 539 | $19K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 162 | $13K |
| 92015 | Determination of refractive state | <1% | 962 | $10K |
| 92002 | <1% | 203 | $9K | |
| 76514 | <1% | 869 | $5K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 68 | $2K |
| 92020 | <1% | 96 | $2K | |
| 92235 | <1% | 12 | $1K | |
| 92132 | <1% | 25 | $393.34 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 16 | $190.20 |
| 92285 | <1% | 12 | $169.74 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 39 | $116.95 |
| 1036F | 0% | 243 | $0.00 | |
| 1124F | 0% | 272 | $0.00 | |
| 4004F | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 104 | $0.00 |
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 officialBASHA, MAHDI (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Michigan Outpatient Surgery Center INC | Fraser, MI | $676K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.