Michael, John

Michael, John was paid $1.92M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 67028, Intravitreal injection of a pharmacologic agent — 27% of everything it billed.

33Billing provider infoMICHAEL, JOHN
CRYSTAL LAKE, IL 60014

33aNPI1598872160assigned 08/23/2006

33bProvider typeOphthalmology Physician

28Total paid$1.92M

24GClaims60,660

24DCodes billed30

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Ophthalmology Physician providers in Illinois

Rank by total paid#8 of 431

Median peer was paid$34K

This provider vs. median56×

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	6,642	$131K
2019	8,511	$241K
2020	12,096	$206K
2021	8,698	$232K
2022	11,360	$444K
2023	8,324	$384K
2024incomplete	5,029	$281K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
67028	Intravitreal injection of a pharmacologic agent	27%	3,548	2,683	$509K
J0178	Injection, aflibercept, 1 mg	19%	391	294	$369K
J2777	Injection, faricimab-svoa, 0.1 mg	16%	360	310	$309K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	12%	8,868	7,241	$223K
92134		10%	12,003	9,648	$193K
J9035	Injection, bevacizumab, 10 mg	5.2%	1,423	992	$101K
92226		3.7%	3,801	1,988	$70K
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	1.9%	712	601	$37K
92202		1.7%	6,245	5,131	$32K
92250		1.4%	893	823	$27K
92225		<1%	706	366	$18K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	220	183	$14K

18 more codes

99214	Doctor's office visit, returning patient (more involved)	<1%	165	$7K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	<1%	147	$6K
92201		<1%	171	$2K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	<1%	23	$662.40
99213	Doctor's office visit, returning patient (routine)	<1%	13	$403.13
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	1,364	$26.00
2022F		<1%	1,861	$0.21
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	1,602	$0.00
1036F		0%	3,643	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	2,706	$0.00
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	0%	832	$0.00
4177F		0%	347	$0.00
4040F		0%	3,515	$0.00
5010F		0%	832	$0.00
G8483	Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons)	0%	2,327	$0.00
2021F		0%	834	$0.00
G8482	Influenza immunization administered or previously received	0%	967	$0.00
G9974	Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity	0%	141	$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.