Moorehead, Michael
Moorehead, Michael was paid $841K by Medicaid between Jan 2018 and Feb 2021, across 35 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 17% of everything it billed.
33Billing provider infoMOOREHEAD, MICHAEL
HAMILTON, OH 45013
HAMILTON, OH 45013
33aNPI1659343317assigned 02/06/2006
33bProvider typeOptometrist
28Total paid$841K
24GClaims53,319
24DCodes billed35
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#32 of 1,098
Median peer was paid$41K
This provider vs. median20×
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 | 28,771 | $433K | |
| 2019 | 22,192 | $360K | |
| 2020 | 2,313 | $48K | |
| 2021 | 43 | $33.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 3,341 | 3,220 | $145K |
| V2750 | Anti-reflective coating, per lens | 13% | 4,209 | 4,023 | $113K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12% | 6,959 | 3,905 | $104K |
| 92015 | Determination of refractive state | 12% | 5,646 | 5,455 | $104K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 2,187 | 2,085 | $98K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 4,140 | 4,030 | $84K |
| V2020 | Frames, purchases | 8.8% | 4,444 | 4,357 | $74K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.1% | 4,057 | 2,622 | $26K |
| 92341 | 2.3% | 791 | 770 | $19K | |
| 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 | 2.0% | 335 | 319 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 489 | 431 | $16K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.4% | 943 | 645 | $12K |
23 more codes
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 268 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,005 | $6K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 565 | $3K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 448 | $3K |
| 92083 | <1% | 125 | $3K | |
| 92250 | <1% | 90 | $2K | |
| 92342 | <1% | 55 | $2K | |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | <1% | 30 | $2K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $589.46 |
| V2744 | Tint, photochromatic, per lens | <1% | 97 | $552.00 |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | <1% | 22 | $377.72 |
| 99072 | <1% | 56 | $33.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 3,137 | $0.00 |
| 1036F | 0% | 3,500 | $0.00 | |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 849 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 73 | $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% | 13 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 4,314 | $0.00 |
| 4004F | 0% | 849 | $0.00 | |
| G9905 | Patient not screened for tobacco use | 0% | 33 | $0.00 |
| 2022F | 0% | 39 | $0.00 | |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 169 | $0.00 |
| 5010F | 0% | 14 | $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.