Towles-Schwen, Michael
Towles-Schwen, Michael was paid $8K by Medicaid between Dec 2021 and Apr 2024, across 4 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 68% of everything it billed.
33Billing provider infoTOWLES-SCHWEN, MICHAEL
AMHERST, NY 14228
AMHERST, NY 14228
33aNPI1669573242assigned 09/26/2006
33bProvider typeOptometrist
28Total paid$8K
24GClaims252
24DCodes billed4
24AFirst – last monthDec 2021 – Apr 2024
Compared with peers
Next to other Optometrist providers in New York
Rank by total paid#1,062 of 1,605
Median peer was paid$29K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 15 | $455.00 | |
| 2022 | 83 | $2K | |
| 2023 | 103 | $4K | |
| 2024incomplete | 51 | $2K |
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 | 68% | 154 | 153 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 40 | 38 | $1K |
| V2020 | Frames, purchases | 11% | 43 | 41 | $825.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.9% | 15 | 15 | $299.00 |
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.