Bywater, Michael
Bywater, Michael was paid $404K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 36% of everything it billed.
33Billing provider infoBYWATER, MICHAEL
HIGHLAND, NY 12528
HIGHLAND, NY 12528
33aNPI1669441747assigned 03/14/2006
33bProvider typeOptometrist
28Total paid$404K
24GClaims9,591
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#242 of 1,605
Median peer was paid$29K
This provider vs. median14×
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 | 781 | $32K | |
| 2019 | 898 | $48K | |
| 2020 | 1,494 | $55K | |
| 2021 | 1,763 | $75K | |
| 2022 | 1,858 | $64K | |
| 2023 | 1,991 | $84K | |
| 2024incomplete | 806 | $47K |
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 | 36% | 1,892 | 1,889 | $146K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 32% | 1,767 | 1,763 | $128K |
| V2020 | Frames, purchases | 17% | 2,473 | 2,453 | $69K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 10% | 2,010 | 1,061 | $41K |
| 92015 | Determination of refractive state | 4.0% | 905 | 905 | $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% | 63 | 63 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 469 | 247 | $250.00 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 12 | 12 | $180.00 |
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.