Physician
Shoreline Ophthalmology, PLLC
Shoreline Ophthalmology, PLLC was paid $3.10M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 12% of everything it billed.
33Billing provider infoSHORELINE OPHTHALMOLOGY, PLLC
MUSKEGON, MI 49444
MUSKEGON, MI 49444
33aNPI1679643670assigned 11/08/2006
33bProvider typeOphthalmology Physician
28Total paid$3.10M
24GClaims84,659
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Ophthalmology Physician providers in Michigan
Rank by total paid#7 of 106
Median peer was paid$51K
This provider vs. median61×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official GIRA, JOSEPH controls 20+ related entities in our dataset. Read more
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 | 13,028 | $464K | |
| 2019 | 13,573 | $469K | |
| 2020 | 10,292 | $350K | |
| 2021 | 12,933 | $456K | |
| 2022 | 13,005 | $519K | |
| 2023 | 12,610 | $496K | |
| 2024incomplete | 9,218 | $345K |
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 | 12% | 8,881 | 8,740 | $387K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 5,580 | 5,528 | $361K |
| 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 | 11% | 6,471 | 6,321 | $329K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 7,531 | 7,156 | $319K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 10% | 1,556 | 1,256 | $312K |
| 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 | 9.4% | 3,953 | 3,915 | $291K |
| 92015 | Determination of refractive state | 7.2% | 25,058 | 24,805 | $224K |
| J0178 | Injection, aflibercept, 1 mg | 6.2% | 151 | 150 | $192K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.9% | 3,076 | 3,066 | $184K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 2.3% | 1,565 | 1,553 | $73K |
| 67028 | Intravitreal injection of a pharmacologic agent | 2.1% | 1,831 | 1,749 | $65K |
| 92250 | 1.9% | 3,574 | 3,545 | $59K |
16 more codes
| 92083 | 1.8% | 2,119 | $55K | |
| 92134 | 1.6% | 3,597 | $50K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.6% | 1,332 | $49K |
| 92133 | 1.4% | 2,975 | $44K | |
| 92136 | 1.3% | 2,402 | $40K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 617 | $28K |
| V2020 | Frames, purchases | <1% | 813 | $18K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 440 | $7K |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 81 | $3K |
| 92310 | <1% | 193 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 130 | $3K |
| 76514 | <1% | 561 | $3K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 122 | $981.00 |
| J3590 | Unclassified biologics | <1% | 12 | $910.84 |
| 92341 | <1% | 26 | $588.88 | |
| 92285 | <1% | 12 | $106.02 |
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.
From NPPES
Who's on the registration
Authorized officialGIRA, JOSEPH (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Nationwide Vision Center, LLC | Mesa, AZ | $42.44M |
| Retina and Vitreous Associates of Kentucky PLLC | Lexington, KY | $13.25M |
| Blue Sky Vision Eye Care, P.C | Grand Rapids, MI | $9.34M |
| Virginia Eye Consultants INC | Norfolk, VA | $8.26M |
| Eye Centers of Louisville,psc | Louisville, KY | $7.49M |
| Grene Vision Group LLC | Wichita, KS | $6.29M |
| Mcpeak Vision Partners PLLC | Glasgow, KY | $2.58M |
| Steven A. Kuhl Od, LLC | Wichita, KS | $2.36M |
| Virginia Surgery Center, LLC | Norfolk, VA | $1.22M |
| John Kenyon American Eye Institute LLC | New Albany, IN | $904K |
| John Kenyon American Eye Institute LLC | Elizabethtown, KY | $866K |
| Tuscaloosa Ophthalmology, INC. | Tuscaloosa, AL | $690K |
| Monmouth Retina Consultants, P.A. | Little Silver, NJ | $476K |
| Eye Associates of Oklahoma PLLC | Oklahoma City, OK | $197K |
| The Ophthalmology Group, LLC | Paducah, KY | $143K |
| Emilio Martin Justo MD PC | Sun City, AZ | $131K |
| Reynolds & Anliker Eye Physicians & Surgeons LLC | Emporia, KS | $92K |
| Shoreline Ophthalmology, PLLC | Muskegon, MI | $73K |
| Florence Ophthalmology LLC | Florence, AL | $42K |
| Frisco Eye Associates | Frisco, TX | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.