Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Obrien JR, Michael

Obrien JR, Michael was paid $2K by Medicaid between Jan 2018 and Jul 2019, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 53% of everything it billed.

33Billing provider infoOBRIEN JR, MICHAEL
SAN PEDRO, CA 90731
33aNPI1598847725assigned 10/19/2006
33bProvider typeOptometrist
28Total paid$2K
24GClaims697
24DCodes billed5
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#1,452 of 1,899
Median peer was paid$23K
This provider vs. median0.1×

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

$0$200$400$6002018201920202021202220232024
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
2018440$519.73
2019257$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 53% 156 156 $984.20
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 24% 99 99 $453.58
92015 Determination of refractive state 17% 394 394 $323.70
V2020 Frames, purchases 3.4% 24 24 $63.30
92340 Fitting of spectacles, except for aphakia; monofocal 1.7% 24 24 $31.98

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.