Physician
Bloom, Michael
Bloom, Michael was paid $1.46M by Medicaid between Jan 2018 and Apr 2024, across 17 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 25% of everything it billed.
33Billing provider infoBLOOM, MICHAEL
DAYTON, OH 45432
DAYTON, OH 45432
33aNPI1639128689assigned 05/08/2006
33bProvider typeOphthalmology Physician
28Total paid$1.46M
24GClaims52,442
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Ophthalmology Physician providers in Ohio
Rank by total paid#8 of 155
Median peer was paid$10K
This provider vs. median140×
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 | 21,750 | $538K | |
| 2019 | 21,401 | $570K | |
| 2020 | 7,254 | $278K | |
| 2021 | 1,352 | $52K | |
| 2022 | 368 | $12K | |
| 2023 | 267 | $8K | |
| 2024incomplete | 50 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 25% | 4,358 | 4,196 | $360K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 21% | 4,829 | 4,623 | $308K |
| 92015 | Determination of refractive state | 16% | 11,196 | 10,740 | $229K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 4,276 | 4,007 | $179K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 5.4% | 4,665 | 3,846 | $78K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.7% | 6,113 | 2,360 | $68K |
| V2020 | Frames, purchases | 3.9% | 3,932 | 3,192 | $57K |
| 92060 | 3.4% | 2,541 | 2,467 | $50K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.3% | 873 | 846 | $48K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.5% | 1,913 | 885 | $22K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.2% | 3,624 | 1,680 | $18K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.0% | 3,131 | 1,450 | $15K |
5 more codes
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.