Estes, Michael
Estes, Michael was paid $3K by Medicaid between Jan 2018 and Apr 2018, across 3 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 39% of everything it billed.
33Billing provider infoESTES, MICHAEL
ALBANY, OR 97321
ALBANY, OR 97321
33aNPI1619975588assigned 07/13/2005
33bProvider typeOptometrist
28Total paid$3K
24GClaims113
24DCodes billed3
24AFirst – last monthJan 2018 – Apr 2018
Compared with peers
Next to other Optometrist providers in Oregon
Rank by total paid#174 of 215
Median peer was paid$33K
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
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 | 113 | $3K |
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 | 39% | 12 | 12 | $1K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 35% | 41 | 41 | $1K |
| 92015 | Determination of refractive state | 26% | 60 | 60 | $782.93 |
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.