Durant, Michael
Durant, Michael was paid $671K by Medicaid between Jan 2018 and Nov 2024, across 23 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 31% of everything it billed.
33Billing provider infoDURANT, MICHAEL
BEREA, KY 40403
BEREA, KY 40403
33aNPI1629029400assigned 05/15/2006
33bProvider typeOptometrist
28Total paid$671K
24GClaims17,321
24DCodes billed23
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#56 of 683
Median peer was paid$123K
This provider vs. median5.5×
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 | 1,350 | $86K | |
| 2019 | 1,925 | $96K | |
| 2020 | 1,169 | $56K | |
| 2021 | 2,505 | $103K | |
| 2022 | 2,693 | $108K | |
| 2023 | 3,317 | $114K | |
| 2024incomplete | 4,362 | $109K |
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 | 31% | 2,384 | 2,322 | $209K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 3,029 | 2,944 | $194K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 3,147 | 3,086 | $167K |
| 92341 | 6.4% | 771 | 753 | $43K | |
| 92015 | Determination of refractive state | 3.6% | 1,581 | 1,524 | $24K |
| V2020 | Frames, purchases | 1.2% | 2,509 | 1,405 | $8K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 181 | 176 | $8K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,146 | 635 | $5K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 104 | 94 | $4K |
| S0516 | Safety eyeglass frames | <1% | 193 | 192 | $3K |
| S0504 | Single vision prescription lens (safety, athletic, or sunglass), per lens | <1% | 212 | 211 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 1,120 | 569 | $2K |
11 more codes
| 92002 | <1% | 18 | $930.06 | |
| S9999 | Sales tax | <1% | 369 | $770.61 |
| V2781 | Progressive lens, per lens | <1% | 26 | $585.00 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $341.88 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 24 | $96.00 |
| 2023F | 0% | 40 | $0.00 | |
| 1036F | 0% | 236 | $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% | 160 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 17 | $0.00 |
| 2022F | 0% | 12 | $0.00 | |
| 2027F | 0% | 29 | $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.