Hayes, Michael
Hayes, Michael was paid $14K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is 92002, — 46% of everything it billed.
33Billing provider infoHAYES, MICHAEL
MATAWAN, NJ 07747
MATAWAN, NJ 07747
33aNPI1619905155assigned 06/30/2006
33bProvider typeOptometrist
28Total paid$14K
24GClaims2,375
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in New Jersey
Rank by total paid#209 of 599
Median peer was paid$2K
This provider vs. median7.6×
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 | 351 | $1K | |
| 2019 | 396 | $2K | |
| 2020 | 335 | $783.80 | |
| 2021 | 334 | $165.60 | |
| 2022 | 398 | $4K | |
| 2023 | 494 | $6K | |
| 2024incomplete | 67 | $586.60 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92002 | 46% | 332 | 324 | $6K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 43% | 473 | 464 | $6K |
| 92015 | Determination of refractive state | 9.6% | 378 | 366 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.6% | 678 | 678 | $217.40 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 0% | 66 | 66 | $0.00 |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 0% | 430 | 430 | $0.00 |
| S0621 | Routine ophthalmological examination including refraction; established patient | 0% | 18 | 18 | $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.