Gousy, Michael
Gousy, Michael was paid $16K by Medicaid between Jan 2018 and Nov 2024, across 3 billing codes. Its largest line is 92015, Determination of refractive state — 74% of everything it billed.
33Billing provider infoGOUSY, MICHAEL
WEST SPRINGFIELD, MA 01089
WEST SPRINGFIELD, MA 01089
33aNPI1689761561assigned 10/10/2006
33bProvider typeOptometrist
28Total paid$16K
24GClaims1,064
24DCodes billed3
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Massachusetts
Rank by total paid#305 of 629
Median peer was paid$15K
This provider vs. median1.1×
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
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 | 240 | $4K | |
| 2019 | 249 | $4K | |
| 2020 | 104 | $1K | |
| 2021 | 106 | $1K | |
| 2022 | 127 | $2K | |
| 2023 | 150 | $3K | |
| 2024incomplete | 88 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 74% | 985 | 982 | $12K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 13% | 48 | 48 | $2K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 12% | 31 | 31 | $2K |
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.