Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Roach, Michael

Roach, Michael was paid $45K by Medicaid between Nov 2018 and May 2021, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 68% of everything it billed.

33Billing provider infoROACH, MICHAEL
VALPARAISO, IN 46383
33aNPI1689711665assigned 01/31/2007
33bProvider typeOptometrist
28Total paid$45K
24GClaims456
24DCodes billed3
24AFirst – last monthNov 2018 – May 2021
Compared with peers

Next to other Optometrist providers in Indiana

Rank by total paid#312 of 743
Median peer was paid$22K
This provider vs. median2.1×

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

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
201820$1K
2019277$27K
202047$5K
2021112$12K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 68% 287 277 $31K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 18% 121 113 $8K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 48 46 $6K

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.